Organization
ORTHOPAEDIC SPECIALTIES OF ATLANTA, INC.
Active
Other names
Georgia Brace & Spine
Organization subpart
No
Provider details
NPI number
Authorized official
MR. IVAN RUIZ BOCO (OWNER/PRESIDENT)
(770) 335-7989
Entity
Organization
Contact information
Practice address
331 CURIE DR, ALPHARETTA, GA 30005-2264
(770) 619-0615
Mailing address
331 CURIE DR, ALPHARETTA, GA 30005-2264
(770) 619-0615
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
51
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
230948743B
—
GA
Enumeration date
12/11/2007
Last updated
05/25/2011
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