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Organization
SCOTTISH RITE CHILDREN'S MEDICAL CENTER
Active
Organization
SCOTTISH RITE CHILDREN'S MEDICAL CENTER
Active
Parent organization
CHILDREN'S HEALTHCARE OF ATLANTA
Other names
Children's Healthcare of Atlanta at Scottish Rite
Organization subpart
Yes
Provider details
NPI number
Legal business name
CHILDREN'S HEALTHCARE OF ATLANTA
Authorized official
LOUETTA CODY (MANAGER, PROVIDER ENROLLMENT)
(404) 785-7876
Entity
Organization
Contact information
Practice address
410 PEACHTREE PKWY, SUITE 300, CUMMING, GA 30041-7066
(404) 785-3229
(404) 785-5690
Mailing address
1575 NE EXPRESSWAY, ATLANTA, GA 30329-2311
(404) 785-7928
(404) 785-7932
Taxonomy
Speciality
Code
Description
License number
State
273Y00000X
Rehabilitation Hospital Unit
Primary
—
—
335E00000X
Prosthetic/Orthotic Supplier
—
—
Other
Enumeration date
03/07/2011
Last updated
01/16/2025
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