NPI 1124784368 · live from the CMS NPI Registry
Atl Orthopedics Medical Group LLC
Orthopaedic Surgery in Atlanta, GA. National Provider Identifier 1124784368, active.
NPI record
| NPI | 1124784368 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Orthopaedic Surgery 207X00000X |
| Practice location | 3885 Princeton Lakes Way Sw Ste 306, Atlanta, GA 30331 |
| Practice phone | 404-662-3585 |
| Mailing address | 4143 Randall Ct Nw, Atlanta, GA 30327 |
| Enumerated | November 11, 2021 |
| Last updated | November 11, 2021 |
| Authorized official | Latricia Bass, Ceo |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Orthopaedic Surgery, Hand Surgery | 207XS0106X | — |
| Orthopaedic Surgery, Orthopaedic Surgery of the Spine | 207XS0117X | — |
| Orthopaedic Surgery, Foot and Ankle Surgery | 207XX0004X | — |
| Orthopaedic Surgery, Sports Medicine | 207XX0005X | — |
| Orthopaedic Surgery primary | 207X00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.