# DELTA COMPREHENSIVE INJURY AND WELLNESS CENTER LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Delta Orthopedics
- **Organization subpart:** No

## Provider details

- **NPI number:** 1124742218
- **Authorized official:** JOSE MARTI (OWNER)
- **Authorized official phone:** (678) 401-3033

## Contact information

- **Practice address:** 1790 MULKEY RD STE 1314, AUSTELL, GA 30106-1122
- **Practice address phone:** (770) 284-3832
- **Mailing address:** 1790 MULKEY RD STE 1314, AUSTELL, GA 30106-1122

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM1300X | Multi-Specialty Clinic/Center | — | NULL | Yes |
| 363A00000X | Physician Assistant | — | NULL | — |
| 363A00000X | Physician Assistant | — | — | — |

## Other

- **Enumeration date:** 10/03/2022
- **Last updated:** 06/30/2023