CHILDREN'S HEALTHCARE OF ATLANTA AT SCOTTISH RITE

KENNESAW, GA
NPI1316456825
Doing Business AsORTHOTICS AND PROSTHETICS AT TOWN CENTER
Entity TypeOrganization
Authorized ContactLOUETTA CODY
Manager, Provider Enrollment
404-785-7876
Organization Subpart ?No
Primary Taxonomy273Y00000X Rehabilitation Unit
Enumeration Date2017-09-27
Last Update Date2023-03-24
Business Address
CHILDREN'S HEALTHCARE OF ATLANTA AT SCOTTISH RITE
605 BIG SHANTY ROAD, NW STE 100
KENNESAW, GA 30144-3646
Phone number: 404-785-3229
Mailing Address
CHILDREN'S HEALTHCARE OF ATLANTA AT SCOTTISH RITE
1575 NORTHEAST EXPY NE
BROOKHAVEN, GA 30329-2401
Phone number: 404-785-7876