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NPI Code Detail

MEDICARE: DR. GEORGE KARL VAN OSTEN III MD

MEDICARE:  DR. GEORGE KARL VAN OSTEN III MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207X00000XOrthopaedic Surgery Physician20792MS
2207X00000XOrthopaedic Surgery Physician4944-320WI

General Provider Information

NPI Number : 1174768287
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. GEORGE KARL VAN OSTEN III MD
Provider Business Mailing Address
First Line : 4381 SOUTH EASON BLVD., SUITE 303
Second Line : NORTH MISSISSIPPI SPORTS MEDICINE AND ORTHOPAEDIC CLINI
City : TUPELO
State : MS
Zip : 38801
Country : US
Telephone Number : 662-840-5747
Fax Number : 662-840-5856
Provider Business Practice Location Address
First Line : 4381 SOUTH EASON BLVD., SUITE 303
Second Line : NORTH MISSISSIPPI SPORTS MEDICINE AND ORTHOPAEDIC CLINI
City : TUPELO
State : MS
Zip : 38801
Country : US
Telephone Number : 662-840-5747
Fax Number : 662-840-5856
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/04/2008
Last Update Date : 04/10/2025

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Directions to “ DR. GEORGE KARL VAN OSTEN III MD” Practice Location

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