Provider Demographics
NPI:1801233671
Name:ORTHOPAEDIC SOLUTIONS, PC
Entity type:Organization
Organization Name:ORTHOPAEDIC SOLUTIONS, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ANTENOR
Authorized Official - Middle Name:
Authorized Official - Last Name:VELAZCO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:770-233-3444
Mailing Address - Street 1:670 S 8TH ST
Mailing Address - Street 2:
Mailing Address - City:GRIFFIN
Mailing Address - State:GA
Mailing Address - Zip Code:30224-4214
Mailing Address - Country:US
Mailing Address - Phone:770-233-3444
Mailing Address - Fax:770-997-3002
Practice Address - Street 1:6525 PROFESSIONAL PL
Practice Address - Street 2:SUITE A
Practice Address - City:RIVERDALE
Practice Address - State:GA
Practice Address - Zip Code:30274-2519
Practice Address - Country:US
Practice Address - Phone:770-233-3444
Practice Address - Fax:770-997-3002
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-06-03
Last Update Date:2013-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA21931207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Single Specialty