Whalio Doctors

NPI 1619346111

Spartan Orthopaedics, LLC

Organisation Orthopaedic Surgery Physician Olive Branch, MS

Practice location

Address
6518 Goodman Rd STE 104, Olive Branch, MS 38654-9809
Phone
(662) 420-7350
Fax
(662) 932-3010

Authorised official

Name
Jennifer C Bullock
Title
President
Phone
(662) 534-2298

Registered specialties (3)

Orthopaedic Surgery Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 207X00000X
Physician Assistant
Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X
Nurse Practitioner
Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363L00000X

Registry record

NPI
1619346111
Entity type
Organization
NPI issued
15 Sep 2015
Record last updated
28 Jul 2026

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.