NPI 1619346111
Spartan Orthopaedics, LLC
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
Physician Assistant
Nurse Practitioner
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.