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Contact Information

ORTHOATLANTA, LLC
1265 HIGHWAY 54 W STE 200
FAYETTEVILLE, GA30214-4543
 Phone: 770-460-1900
 Fax: 770-719-1214
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Orthopaedic Surgery

207X00000X 02 Physician/General Surgery
 

Adult Reconstructive Orthopaedic Surgery

207XS0114X 02 Physician/General Surgery
 

Foot and Ankle Surgery

207XX0004X 02 Physician/General Surgery
 

Hand Surgery

207XS0106X 02 Physician/General Surgery
 

Physical Medicine & Rehabilitation

208100000X 25 Physician/Physical Medicine and Rehabilitation
 

Physician Assistant

363A00000X 97 Physician Assistant
 

Sports Medicine

207XX0005X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for ORTHOATLANTA LLC · (Female)

NPI Number 1023138948
Status Active
Credentials
Entity Individual
Enumeration date 04/02/2007
Last updated 03/24/2025 - More than a year ago
Sole proprietor 1 Not specified
Identifiers
  • GA Other 6285940006 DME (ALSO MEDIARE NSC)
  • GA Other 346603701 USDOL - FAYETTEVILLE
Hospital affiliation(s) Not Available
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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