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Organization
ORTHO MEDICAL MANAGEMENT LLC
Active
Organization
ORTHO MEDICAL MANAGEMENT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FELIPE COTA (MANAGER)
(770) 613-0670
Entity
Organization
Contact information
Practice address
5050 JIMMY CARTER BLVD, SUITE 250, NORCROSS, GA 30093-2711
(770) 613-0670
(770) 559-1021
Mailing address
5050 JIMMY CARTER BLVD, SUITE 250, NORCROSS, GA 30093-2711
(770) 613-0670
(770) 559-1021
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
—
NULL
207VG0400X
Gynecology Physician
—
—
207VM0101X
Maternal & Fetal Medicine Physician
Primary
—
NULL
207VM0101X
Maternal & Fetal Medicine Physician
Primary
—
—
Other
Enumeration date
03/09/2016
Last updated
03/09/2016
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