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Organization

CHILDREN'S HEALTHCARE OF ATLANTA AT SCOTTISH RITE

Active
Other names
CHOA Orthotics and Prosthetics
Organization subpart
No

Provider details

NPI number
Authorized official
LOUETTA CODY (MANAGER, PROVIDER ENROLLMENT)
(404) 785-7876
Entity
Organization

Contact information

Practice address
1400 TULLIE RD NE STE 601, ATLANTA, GA 30329-2309
(404) 785-3229
(404) 785-5690
Mailing address
1575 NE EXPRESSWAY, ATLANTA, GA 30329-4007
(404) 785-7928
(404) 785-7932

Taxonomy

Speciality
Code
Description
License number
State
273Y00000X
Rehabilitation Hospital Unit
Primary

Other

Enumeration date
12/18/2018
Last updated
01/16/2025
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