NPI 1023217171

Georgia Sports Medicine and Orthopedic Clinic, PC

Organisation Orthopaedic Surgery Physician Tifton, GA

Practice location

Address: 1610 John Orr Dr Suite a, Tifton, GA 31794-3682
Phone: (229) 386-5222
Fax: (229) 382-6191
Mailing address: PO Box 7630, Tifton, GA 31793-7630

Authorised official

Name: Drew Dorminey
Title: Administrator/Coo
Phone: (229) 387-1185

Registered specialties

Orthopaedic Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207X00000X

Other Orthopaedic Surgery providers in Georgia →

Registry record

NPI: 1023217171
Entity type: Organization
NPI issued: 17 Jul 2007
Record last updated: 17 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.