Athens Bone and Joint PC

Organization Active NPI Specialist · Athens, GA

NPI 1689736100 · NPPES record last updated Oct 25, 2016

Key facts

NPI
1689736100
Entity type
Organization (NPI type 2)
Primary specialty
Specialist 174400000X
License
040899 (GA)
Legal business name
ATHENS BONE AND JOINT PC
Practice address
1010 Prince Ave
Suite 115 South
Athens, GA 30606-5805
Phone
(706) 583-9000
Fax
(706) 353-6525
NPI assigned
Dec 14, 2006
Organization subpart
No

Authorized official

Name
Dr. John Richard Dorris III, MD
Title
Owner
Phone
(706) 583-9000

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist
Group: 193400000X SINGLE SPECIALTY GROUP
174400000X 040899 GA Yes

Addresses

Primary practice location

1010 Prince Ave
Suite 115 South
Athens, GA 30606-5805

Mailing address

1010 Prince Ave
Suite 115 South
Athens, GA 30606-5805
Phone (706) 583-9000

Other identifiers

IdentifierTypeStateIssuer
000805054BMedicaidGA

Other providers in Athens, GA

All providers in Athens, GA · Specialist in Georgia

Sources for this page

Verify at the official NPI Registry.