Organization · Type 2 NPI

Midwestern Advanced Orthopaedics and Sports Medicine Inc

Surgical Physician Assistant · Decatur, GA

NPI number 1740560978 Active

Practice location

2801 N Decatur Rd, Suite 200
Decatur, GA 30033-5949

Fax (404) 296-2070

Mailing address

433 Highland Ave NE, Apt 1407
Atlanta, GA 30312-1391

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400X6115 (GA)

Surgical Physician Assistant: Definition to come...

57 other providers at this address

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About NPI 1740560978

Midwestern Advanced Orthopaedics and Sports Medicine Inc's National Provider Identifier is 1740560978, issued on Aug 19, 2011. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Decatur, GA. The record was last updated on Aug 19, 2011.