CCN: 111654 NPI: 1942354675 Organization

Traditions Health

1080 HOLCOMB BRIDGE ROAD , BLDG 200 SUITE 100
ROSWELL, GA 300755058

Contact Information

Phone 7707979300
Fax 6789660071
Enumeration Date 2007-01-22
Last Updated 2025-11-12

Taxonomies

Code: 251G00000X (Primary) License State: GA License: 0670271H

Inpatient Payment Attributes (IPSF) View Dictionary →

Effective Date:

censusDivision 3

cbsaActualGeographicLocation 12060

providerType 35

censusDivision 3

cbsaActualGeographicLocation 12060

providerType 35

censusDivision 3

cbsaActualGeographicLocation 12060

providerType 35

censusDivision 3

cbsaActualGeographicLocation 12060

providerType 35

censusDivision 3

cbsaActualGeographicLocation 12060

providerType 35

censusDivision 3

cbsaActualGeographicLocation 12060

providerType 35

Outpatient Payment Attributes (OPSF) View Dictionary →

Effective Date:

cbsaActualGeographicLocation 12060

providerType 35

specialPaymentIndicator

carrierCode 10212

localityCode 01