Organization · Type 2 NPI

South Atl Ortho & SPTS

Medical Specialty Clinic/Center · Forest Park, GA

NPI number 1639368459 Active

Practice location

425 Forest Parkway, Suite 111
Forest Park, GA 30297-2342

Fax (404) 362-9938

Mailing address

425 Forest Pkwy, SUITE111
Forest Park, GA 30297-2185

Specialties and licenses

TaxonomyCodeLicense
Medical Specialty Clinic/Center Primary 261QM2500X033313 (GA)

Medical Specialty Clinic/Center: 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 public health needs (e.g., infectious diseases or breast and cervical cancer).

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About NPI 1639368459

South Atl Ortho & SPTS's National Provider Identifier is 1639368459, issued on Oct 17, 2007. The primary taxonomy on file is Medical Specialty Clinic/Center (261QM2500X), and the practice location is in Forest Park, GA. The record was last updated on Oct 2, 2009.