South Atl Ortho & Spts in Forest Park - Medical Specialty
South Atl Ortho & Spts - NPI 1639368459
South Atl Ortho & Spts is a Medical Specialty in Forest Park, Georgia. South Atl Ortho & Spts practices all healthcare services and medical treatments related to Medical Specialty. The NPI Number for South Atl Ortho & Spts is 1639368459. The last update date is 2009-10-02.
South Atl Ortho & Spts's current location address is 425 Forest Pkwy, Forest Park, Georgia. You can contact this provider via phone number 4043629935 and fax number 4043629938. The mailing address for South Atl Ortho & Spts is 425 Forest Pkwy, Forest Park, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | South Atl Ortho & Spts |
|---|---|
| Address | 425 Forest Pkwy, Forest Park, Georgia |
| Phone Number | 4043629935 |
| Fax Number | 4043629938 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER/PRES |
|---|---|
| Authorized Official Name | Doman Nicholas Alexander |
| Credentials | M.D. |
| Telephone Number | 4043629935 |
NPI Number Detail
| NPI Number | 1639368459 |
|---|---|
| Provider Enumeration Date | 2007-10-17 |
| Last Updated Date | 2009-10-02 |
Provider Mailing Address Detail
| Address | 425 Forest Pkwy |
|---|---|
| City | Forest Park |
| State | Georgia (GA) |
| Post Code | 302972185 |
| Phone Number | 4043629935 |
| Fax Number | 4043629938 |
Provider's Primary Taxonomy Detail
| Speciality | Medical Specialty |
|---|---|
| Taxonomy | 261Qm2500X |
| Licence No | 33313 |
|
Definition: An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 000444881A | GA | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to South Atl Ortho & Spts by the Centers for Medicare & Medicaid Services?
The South Atl Ortho & Spts has been issued the NPI (National Provider Identifier) 1639368459, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where South Atl Ortho & Spts is located?
The South Atl Ortho & Spts is situated at the following address: 425 Forest Pkwy, Forest Park, GA, 302972185.
What is South Atl Ortho & Spts's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for South Atl Ortho & Spts is Medical Specialty, and the taxonomy classification code that categorizes this area of expertise is 261Qm2500X.
On what date did South Atl Ortho & Spts receive its 1639368459 assignment from the Centers for Medicare & Medicaid Services?
The South Atl Ortho & Spts was assigned its 1639368459 on 2007-10-17, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details related to South Atl Ortho & Spts most recently updated or revised?
The information pertaining to South Atl Ortho & Spts, including its address, specialty, and other relevant details, was last updated or revised on 2009-10-02.
NPI Number: 1962405878
Address: 2650 Elm Ave Ste 218, Long Beach, CA