NPI:
1639368459
Provider Name:
SOUTH ATL ORTHO & SPTS
Other Name: ALEXANDER N. DOMAN, MD
Classification:
Clinic/Center - 261QM2500X
Entity Type:
Organization
Specialization: Medical Specialty
Address:
425 FOREST PARKWAY
SUITE 111
FOREST PARK, GA
ZIP 30297
Phone:
(404) 362-9935
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SOUTH ATL ORTHO & SPTS is a medical specialty clinic center in Forest Park, GA. The provider is 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). SOUTH ATL ORTHO & SPTS NPI is 1639368459. The provider is registered as an organization entity type.
The provider Other Name Is Alexander N. Doman, Md.
The provider's business location address is:
425 FOREST PARKWAY
SUITE 111
FOREST PARK, GA
ZIP 30297-342
Phone: (404) 362-9935
Fax: (404) 362-9938
The provider's authorized official is Alexander Nicholas Doman .
The authorized official title is Owner/president and has the following contact phone number (404) 362-9935.
The enumeration date for this NPI number is 10/17/2007 and was last updated on 10/2/2009.