| NPI | 1124994264 |
|---|---|
| Doing Business As | ORTHOXPRESS OF ROSWELL |
| Entity Type | Organization |
| Authorized Contact | JENNIFER C BULLOCK President 662-534-2298 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 363A00000X Physician Assistant |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2025-10-15 |
| Last Update Date | 2025-10-15 |