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Organization

CHOA ORTHOTICS AND PROSTHETICS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
LOUETTA CODY (MANAGER, PROVIDER ENROLLMENT)
(404) 785-7876
Entity
Organization

Contact information

Practice address
1250 HIGHWAY 54 W STE 200, FAYETTEVILLE, GA 30214-4540
(404) 785-1933
(404) 785-8806
Mailing address
1575 NORTHEAST EXPY, ATLANTA, GA 30329-2401
(404) 785-7876

Taxonomy

Speciality
Code
Description
License number
State
273Y00000X
Rehabilitation Hospital Unit
Primary

Other

Enumeration date
05/05/2022
Last updated
01/16/2025
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