NPI 1104219468 · live from the CMS NPI Registry
Athens Orthopedic Clinic, PA
Orthopaedic Surgery in Greensboro, GA. National Provider Identifier 1104219468, active.
NPI record
| NPI | 1104219468 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Orthopaedic Surgery 207X00000X |
| Practice location | 1031 Lake Country Dr, Greensboro, GA 30642 |
| Practice phone | 706-549-1663 |
| Mailing address | 1765 Old West Broad St Bldg 2-200, Athens, GA 30606 |
| Enumerated | March 11, 2015 |
| Last updated | September 3, 2026 |
| Authorized official | Michael Boblitz, Ceo |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Orthopaedic Surgery primary | 207X00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.