CHOA ORTHOTICS AND PROSTHETICS

FAYETTEVILLE, GA
NPI1023754801
Entity TypeOrganization
Authorized ContactLOUETTA CODY
Manager, Provider Enrollment
404-785-7876
Organization Subpart ?No
Primary Taxonomy273Y00000X Rehabilitation Unit
Enumeration Date2022-05-05
Last Update Date2023-03-24
Business Address
CHOA ORTHOTICS AND PROSTHETICS
1250 HIGHWAY 54 W STE 200
FAYETTEVILLE, GA 30214-4540
Phone number: 404-785-1933
Mailing Address
CHOA ORTHOTICS AND PROSTHETICS
1575 NORTHEAST EXPY NE
BROOKHAVEN, GA 30329-2401
Phone number: 404-785-7876