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1023754801
CHOA ORTHOTICS AND PROSTHETICS
FAYETTEVILLE, GA
NPI
1023754801
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Entity Type
Organization
Authorized Contact
LOUETTA CODY
Manager, Provider Enrollment
404-785-7876
Organization Subpart ?
No
Primary Taxonomy
273Y00000X Rehabilitation Unit
Enumeration Date
2022-05-05
Last Update Date
2024-11-20
Business Address
CHOA ORTHOTICS AND PROSTHETICS
1250 HIGHWAY 54 W STE 200
FAYETTEVILLE, GA 30214-4540
Phone number: 404-785-1933
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Mailing Address
CHOA ORTHOTICS AND PROSTHETICS
1575 NORTHEAST EXPY NE
ATLANTA, GA 30329-2401
Phone number: 404-785-7876
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