| NPI | 1972732212 |
|---|---|
| Doing Business As | CHILDREN'S HEALTHCARE OF ATLANTA AT SCOTTISH RITE |
| Entity Type | Organization |
| Authorized Contact | LOUETTA CODY Manager, Provider Enrollment 404-785-7876 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 273Y00000X Rehabilitation Unit |
| Additional Taxonomies | 335E00000X Prosthetic/Orthotic Supplier |
| Enumeration Date | 2009-07-08 |
| Last Update Date | 2025-01-16 |