Organization
OSSP IMAGING OF SOUTH ATLANTA
Active
Parent organization
ORTHO SPORT & SPINE PHYSICIANS
Organization subpart
Yes
Provider details
NPI number
Legal business name
ORTHO SPORT & SPINE PHYSICIANS
Authorized official
MRS. DIA MCDONALD (CREDENTIALING COORDINATOR)
(305) 290-2448
Entity
Organization
Contact information
Practice address
6630 EXCHANGE PL, MORROW, GA 30260-2310
(404) 935-9116
Mailing address
5788 ROSWELL RD, ATLANTA, GA 30328-4904
(404) 935-9116
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
—
—
Other
Enumeration date
03/14/2017
Last updated
10/03/2022
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