MEDICARE: ATLANTA ORTHOPEDIC SURGERY CONSULTANTS, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207XS0106X	Orthopaedic Hand Surgery Physician

General Provider Information

NPI Number	:	1023183530
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ATLANTA ORTHOPEDIC SURGERY CONSULTANTS, LLC

Provider Business Mailing Address
First Line	:	1115 MOUNT ZION RD
Second Line	:	SUITE J
City	:	MORROW
State	:	GA
Zip	:	30260-2266
Country	:	US
Telephone Number	:	770-968-7421
Fax Number	:	770-960-0078

Provider Business Practice Location Address
First Line	:	1115 MOUNT ZION RD
Second Line	:	SUITE J
City	:	MORROW
State	:	GA
Zip	:	30260-2266
Country	:	US
Telephone Number	:	770-968-7421
Fax Number	:	770-960-0078

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. RAJU M VANAPALLI
Credential	:	MD
Telephone Number	:	770-968-7421

Provider Enumeration Date	:	11/21/2006
Last Update Date	:	05/12/2008

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