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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
175 WHITE ST NW, SUITE 350, MARIETTA, GA 30060-1053
(404) 785-8250
(404) 785-8251
Mailing address
1575 NORTHEAST EXPY NE, BROOKHAVEN, GA 30329-2401
(404) 785-7876
(404) 785-7932
Taxonomy
Speciality
Code
Description
License number
State
273Y00000X
Rehabilitation Hospital Unit
Primary
—
—
335E00000X
Prosthetic/Orthotic Supplier
—
—
Other
Enumeration date
03/10/2010
Last updated
03/24/2023
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