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NPI Code Detail

MEDICARE: CHOICE CARE OCCUPATIONAL MEDICINE & ORTHOPAEDICS, LLC

MEDICARE: CHOICE CARE OCCUPATIONAL MEDICINE & ORTHOPAEDICS, 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
1174400000XSpecialist

General Provider Information

NPI Number : 1588890230
Entity Type Code : Organization
Provider Name (Legal Business Name) : CHOICE CARE OCCUPATIONAL MEDICINE & ORTHOPAEDICS, LLC
Provider Business Mailing Address
First Line : 791 OAK ST
Second Line :
City : HAPEVILLE
State : GA
Zip : 30354-1748
Country : US
Telephone Number : 404-601-2000
Fax Number : 404-559-0767
Provider Business Practice Location Address
First Line : 791 OAK ST
Second Line :
City : HAPEVILLE
State : GA
Zip : 30354-1748
Country : US
Telephone Number : 404-601-2000
Fax Number : 404-559-0767
Authorized Official
Title or Position : ADMINISTRATIVE ASSISTANT
Name : MS. MINDI BROOKE
Credential :
Telephone Number : 404-601-2000
Provider Enumeration Date : 06/09/2009
Last Update Date : 06/09/2009

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Directions to “CHOICE CARE OCCUPATIONAL MEDICINE & ORTHOPAEDICS, LLC ” Practice Location

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