Provider Demographics
NPI:1588890230
Name:CHOICE CARE OCCUPATIONAL MEDICINE & ORTHOPAEDICS, LLC
Entity type:Organization
Organization Name:CHOICE CARE OCCUPATIONAL MEDICINE & ORTHOPAEDICS, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATIVE ASSISTANT
Authorized Official - Prefix:MS
Authorized Official - First Name:MINDI
Authorized Official - Middle Name:
Authorized Official - Last Name:BROOKE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:404-601-2000
Mailing Address - Street 1:791 OAK ST
Mailing Address - Street 2:
Mailing Address - City:HAPEVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30354-1748
Mailing Address - Country:US
Mailing Address - Phone:404-601-2000
Mailing Address - Fax:404-559-0767
Practice Address - Street 1:791 OAK ST
Practice Address - Street 2:
Practice Address - City:HAPEVILLE
Practice Address - State:GA
Practice Address - Zip Code:30354-1748
Practice Address - Country:US
Practice Address - Phone:404-601-2000
Practice Address - Fax:404-559-0767
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-06-09
Last Update Date:2009-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Multi-Specialty