Southern Orthopedic Associates, SC
Southern Orthopedic Associates, SC is an Orthopaedic Surgery Physician in Carrondale, Illinois. Licensed in Illinois. Registered with an NPI since 2008.
- Licensed in
- IL
- In the registry since
- 2008
Practice location Address checks out
1101 Diann LnCarrondale, IL 62901
Phone: (618) 997-6800
Fax: (618) 457-0211
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Orthopaedic Surgery Physician (primary) | Taxonomy 207X00000X · Licence 042617215 (IL) |
|---|
Record details
| NPI number | 1104075126 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Thomas Davis — President/Orthopedic Surgeon · (618) 997-6800 |
| NPI enumerated | September 15, 2008 |
| Last updated in NPPES | September 15, 2008 |
| Mailing address | 510 Lincoln Drive, Herrin, IL 62948 |