MEDICARE: ORION GROUP SERVICES, INC.

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	208D00000X	General Practice Physician

General Provider Information

NPI Number	:	1831398361
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ORION GROUP SERVICES, INC.

Provider Business Mailing Address
First Line	:	3020 ROSWELL RD
Second Line	:	SUITE 200
City	:	MARIETTA
State	:	GA
Zip	:	30062-4996
Country	:	US
Telephone Number	:	678-819-3947
Fax Number	:	678-819-3949

Provider Business Practice Location Address
First Line	:	3020 ROSWELL RD
Second Line	:	SUITE 200
City	:	MARIETTA
State	:	GA
Zip	:	30062-4996
Country	:	US
Telephone Number	:	678-819-3947
Fax Number	:	678-819-3949

Authorized Official
Title or Position	:	PRESIDENT/OWNER
Name	:	JESUS MANUEL LOSA SR.
Credential	:
Telephone Number	:	678-819-3947

Provider Enumeration Date	:	07/14/2007
Last Update Date	:	07/14/2007

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Directions to “ORION GROUP SERVICES, INC. ” Practice Location

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