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NPI Code Detail

MEDICARE: ORTHO SPORT & SPINE PHYSICIANS OF ALABAMA

MEDICARE: ORTHO SPORT & SPINE PHYSICIANS OF ALABAMA
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
1208100000XPhysical Medicine & Rehabilitation Physician

General Provider Information

NPI Number : 1659144145
Entity Type Code : Organization
Provider Name (Legal Business Name) : ORTHO SPORT & SPINE PHYSICIANS OF ALABAMA
Provider Business Mailing Address
First Line : 5788 ROSWELL RD
Second Line :
City : ATLANTA
State : GA
Zip : 30328-4904
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 4241 LOMAC ST
Second Line :
City : MONTGOMERY
State : AL
Zip : 36106-2879
Country : US
Telephone Number : 678-752-7246
Fax Number :
Authorized Official
Title or Position : DIRECTOR
Name : INDHIRA ALMONTE
Credential :
Telephone Number : 404-374-8163
Provider Enumeration Date : 11/06/2023
Last Update Date : 01/16/2024

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Directions to “ORTHO SPORT & SPINE PHYSICIANS OF ALABAMA ” Practice Location

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