Organization
ORTHOXPRESS OF GEORGIA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER C BULLOCK (PRESIDENT)
(662) 534-2227
Entity
Organization
Contact information
Practice address
4900 IVEY RD NW STE 1401, ACWORTH, GA 30101-4007
(470) 648-8108
(470) 648-8109
Mailing address
206 OXFORD RD, NEW ALBANY, MS 38652-3115
(662) 534-2227
(662) 534-2330
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
08/18/2021
Last updated
08/20/2025
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