Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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The Bortolazzo Group, LLC

Organization Emergency Medicine Physician · NPI 1801965082

The Bortolazzo Group, LLC is an Emergency Medicine Physician in Austell, Georgia. Works from 4 locations. Registered with an NPI since 2006.

In the registry since
2006
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3950 Austell Rd
Austell, GA 30106-1121
Phone: (770) 732-4000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

  • 8954 Hospital Dr, Douglasville, GA 30134-2272 — (770) 949-1500
  • 2518 Jimmy Lee Smith Pkwy, Hiram, GA 30141-2068 — (470) 644-7000
  • 677 Church St Ne, Marietta, GA 30060-1101 — (770) 793-5000

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X

Record details

NPI number1801965082
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kim Larsen — Director Of Credentialing · (770) 874-5400
NPI enumeratedNovember 6, 2006
Last updated in NPPESFebruary 5, 2020
Certification dateFebruary 5, 2020
Mailing addressPo Box 22085, Belfast, ME 04915-4117

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