Registry details
Type
Individual
Primary specialty
Orthopaedic Surgery, Sports Medicine
Enumerated
Jul 11, 2005
License(s)
12181 (AL), MD12181 (AL)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| LOCATION | 2700 10TH AVE S SUITE 200 | Birmingham, AL 35205-1200 | 205-933-7838 |
| MAILING | PO BOX 370 | Fortson, GA 31808-0370 |
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