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Organization
CHILDREN'S HEALTHCARE OF ATLANTA AT SCOTTISH RITE
Active
Organization
CHILDREN'S HEALTHCARE OF ATLANTA AT SCOTTISH RITE
Active
Other names
Orthotics and Prosthetics at Town Center
Organization subpart
No
Provider details
NPI number
Authorized official
LOUETTA CODY (MANAGER, PROVIDER ENROLLMENT)
(404) 785-7876
Entity
Organization
Contact information
Practice address
605 BIG SHANTY ROAD, NW, STE 100, KENNESAW, GA 30144-3646
(404) 785-3229
(404) 785-5690
Mailing address
1575 NE EXPRESSWAY, ATLANTA, GA 30329-2401
(404) 785-7876
(404) 785-7932
Taxonomy
Speciality
Code
Description
License number
State
273Y00000X
Rehabilitation Hospital Unit
Primary
—
—
Other
Enumeration date
09/27/2017
Last updated
01/16/2025
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