National Provider Identifier Database

CAPITAL CITY ORTHOPAEDICS SPORTS MEDICINE PC
Medical Specialty

An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).


Contact Information

CAPITAL CITY ORTHOPAEDICS & SPORTS MEDICINE, P.C.
5555 PEACHTREE DUNWOODY RD NE
SUITE 101
ATLANTA, GA30342-1703
Phone: 404-303-8665
Fax: 404-303-8482
Website:
Specialty Taxonomy Code
* Medical Specialty 261QM2500X

* Indicates primary specialty

NPI Profile & details for CAPITAL CITY ORTHOPAEDICS & SPORTS MEDICINE, P.C.

NPI Number 1992959118
Legal business name
LBN
CAPITAL CITY ORTHOPAEDICS & SPORTS MEDICINE, P.C.
Authorized official DAID FOWLER - (PHYICIAN/PRESIDENT)
Entity Organization
Organization subpart No
Enumeration date 11/14/2008
Last updated 11/14/2008 - About 18 years ago
Sole proprietor1 Not specified
Identifiers
  • GA License #: GA028403

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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