Organization
ORTHOTECH ATLANTA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL CORNELL (VP OF OPERATIONS AND FINANCE)
(800) 507-0087
Entity
Organization
Contact information
Practice address
114 JONESBORO ST, MCDONOUGH, GA 30253-3119
(800) 507-0087
(800) 661-1985
Mailing address
114 JONESBORO ST, MCDONOUGH, GA 30253-3119
(800) 507-0087
(800) 661-1985
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
08/15/2014
Last updated
08/10/2016
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