Organization
ALLIANT WOUND CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. STEPHANIE ORTEGA (ADMINISTRATOR)
(786) 314-0924
Entity
Organization
Contact information
Practice address
70 MANSELL CT, SUITE 100, PMB 18, ROSWELL, GA 30076-1523
(678) 278-9217
Mailing address
70 MANSELL CT, SUITE 100, PMB 18, ROSWELL, GA 30076-1523
(678) 278-9217
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
64699
LICENSE NUMBER
GA
Enumeration date
12/23/2013
Last updated
02/27/2014
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