Provider Demographics
NPI:1386108769
Name:FOCUS ORTHOPAEDICS AND SPORTS MEDICINE PC
Entity type:Organization
Organization Name:FOCUS ORTHOPAEDICS AND SPORTS MEDICINE PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:DOUGLAS
Authorized Official - Middle Name:WILLIAM
Authorized Official - Last Name:HAMWAY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:770-867-5869
Mailing Address - Street 1:PO BOX 508
Mailing Address - Street 2:
Mailing Address - City:WINDER
Mailing Address - State:GA
Mailing Address - Zip Code:30680-0508
Mailing Address - Country:US
Mailing Address - Phone:770-867-5869
Mailing Address - Fax:
Practice Address - Street 1:642 HOSPITAL RD
Practice Address - Street 2:
Practice Address - City:COMMERCE
Practice Address - State:GA
Practice Address - Zip Code:30529-1142
Practice Address - Country:US
Practice Address - Phone:770-867-5869
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-01-30
Last Update Date:2019-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Single Specialty