Organization
WEST ATLANTA ORTHOPAEDIC CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PATTY FOREMAN (OFFICE MANAGER)
(404) 310-2726
Entity
Organization
Contact information
Practice address
8355 CHEROKEE BLVD., SUITE 205, DOUGLASVILLE, GA 30134
(404) 310-2726
Mailing address
P.O. BOX 366, DOUGLASVILLE, GA 30134
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
16045
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00064061C
—
GA
Enumeration date
09/19/2006
Last updated
08/22/2020
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