# WOUND PROS GEORGIA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1104440981
- **Authorized official:** DR. CHRISTOPHER OTIKO DPM (PRESIDENT)
- **Authorized official phone:** (818) 836-2475

## Contact information

- **Practice address:** 2045 PEACHTREE RD, STE 410, ATLANTA, GA 30309-1408
- **Practice address phone:** (818) 836-2475
- **Practice address fax:** (323) 433-9177
- **Mailing address:** 5901 W CENTURY BLVD STE 750, LOS ANGELES, CA 90045-5443
- **Mailing address phone:** (323) 480-4075
- **Mailing address fax:** (323) 433-9177

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | — | — | Yes |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | — | — |

## Other

- **Enumeration date:** 06/08/2020
- **Last updated:** 02/16/2023