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
6 EXECUTIVE PARK DR NE, ATLANTA, GA 30329-2221
(404) 785-2570
(404) 785-2565
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
—
—
Other
Enumeration date
03/27/2013
Last updated
03/24/2023
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