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Stattesboro Orthopaedic Center, INC

Orthopaedic Surgery in Statesboro, GA. Organization (NPI-2).

NPI number1760627699
StatusActive
Last updated in NPPESApr 26, 2012

Details

NPI
1760627699
Entity type
Organization (NPI-2)
Legal business name
Stattesboro Orthopaedic Center, INC
Organization subpart
No
Enumeration date
Dec 5, 2008
Last updated
Apr 26, 2012

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207X00000X Orthopaedic Surgery034484GAYes
207XS0114X Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery034484GA
207X00000X Orthopaedic Surgery––

Other names

  • Coastal Orthopedics And Sports Medicine Specialists (Former Legal Business Name)

Practice location

1497 Fair Rd
Ste 101
Statesboro, GA 30458-0823

Phone 912-225-3760 · Fax 912-225-3767

Mailing address

1497 Fair Rd
Ste 101
Statesboro, GA 30458-0823

Phone 912-225-3760 · Fax 912-225-3767

Authorized official

William Stephen Tankersley
MD-Owner
9122253760

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Other Orthopaedic Surgery Physician providers in Statesboro, GA

All 9 Orthopaedic Surgery Physician providers in Statesboro · All 1,371 providers in Statesboro

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