Organization
DOMINION ORTHOPAEDIC CLINIC, LLC
Active
Organization
DOMINION ORTHOPAEDIC CLINIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN I FOSTER III MD (PRESIDENT)
(770) 455-4009
Entity
Organization
Contact information
Practice address
5830 BOND ST, SUITE 200, CUMMING, GA 30040-0307
(770) 455-4009
(770) 455-4065
Mailing address
5555 PEACHTREE DUNWOODY RD NE, SUITE 215, ATLANTA, GA 30342-1703
(770) 455-4009
(770) 455-4065
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
GRP7986
MEDICARE PTAN
GA
Enumeration date
09/08/2009
Last updated
09/08/2009
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up