Organization
SOUTH ATL ORTHO & SPTS
Active
Parent organization
SOUTH ATLANTA ORTHOPEDICS & SPORTS MEDICINE
Other names
Alexander N. Doman, MD
Organization subpart
Yes
Provider details
NPI number
Legal business name
SOUTH ATLANTA ORTHOPEDICS & SPORTS MEDICINE
Authorized official
DR. ALEXANDER NICHOLAS DOMAN M.D. (OWNER/PRESIDENT)
(404) 362-9935
Entity
Organization
Contact information
Practice address
425 FOREST PARKWAY, SUITE 111, FOREST PARK, GA 30297-2342
(404) 362-9935
(404) 362-9938
Mailing address
425 FOREST PKWY, SUITE111, FOREST PARK, GA 30297-2185
(404) 362-9935
(404) 362-9938
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
033313
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000444881A
—
GA
Enumeration date
10/17/2007
Last updated
10/02/2009
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