OrganizationActive
South Ga Spine Care Institute
NPI 1437299740 · Orthopaedic Surgery of the Spine Physician · Moultrie, GA
Provider details
- NPI number
- 1437299740
- Entity type
- Organization
- Primary specialty
- Orthopaedic Surgery of the Spine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Andrew Cordista, Doctor(229) 890-6612
- License
- 051451 (GA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
8 Live Oak Ct
Moultrie, GA 31768-6783
Phone: (229) 890-6612
Fax: (229) 890-6621
Approximate (ZIP-level) locationGet directions
Mailing address
8 Live Oak Ct
Moultrie, GA 31768-6783
Registry dates
- Enumerated
- 2007-02-07
- Last updated
- 2015-12-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.