Alliant Wound Care

Organization Active NPI Family Medicine Physician · Roswell, GA

NPI 1477974186 · NPPES record last updated Feb 27, 2014

Key facts

NPI
1477974186
Entity type
Organization (NPI type 2)
Primary specialty
Family Medicine Physician 207Q00000X
Legal business name
ALLIANT WOUND CARE
Practice address
70 Mansell CT
Suite 100, PMB 18
Roswell, GA 30076-1523
Phone
(678) 278-9217
NPI assigned
Dec 23, 2013
Organization subpart
No

Authorized official

Name
Mrs. Stephanie Ortega
Title
Administrator
Phone
(786) 314-0924

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician
Group: 193400000X SINGLE SPECIALTY GROUP
207Q00000X Yes

Addresses

Primary practice location

70 Mansell CT
Suite 100, PMB 18
Roswell, GA 30076-1523

Mailing address

70 Mansell CT
Suite 100, PMB 18
Roswell, GA 30076-1523
Phone (678) 278-9217

Other identifiers

IdentifierTypeStateIssuer
64699OtherGALICENSE NUMBER

Other providers in Roswell, GA

All providers in Roswell, GA · Family Medicine Physician in Georgia

Sources for this page

Verify at the official NPI Registry.