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Individual

BRANDEN ORTA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CAA

Contact information

Practice address
6105 PEACHTREE DUNWOODY RD, ATLANTA, GA 30328-5909
(470) 308-4905
(470) 300-7850
Mailing address
1325 WILMINGTON WAY, GRAYSON, GA 30017-1075
(678) 438-2732

Taxonomy

Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
Primary
8946
GA
367H00000X
Anesthesiologist Assistant

Other

Enumeration date
08/02/2018
Last updated
01/31/2025
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