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 | 2023-03-24 |