Organization
ATL ORTHOPEDICS MEDICAL GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LATRICIA BASS (CEO)
(404) 662-3585
Entity
Organization
Contact information
Practice address
3885 PRINCETON LAKES WAY SW STE 306, ATLANTA, GA 30331-7100
(404) 662-3585
Mailing address
4143 RANDALL CT NW, ATLANTA, GA 30327-3711
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
207XS0106X
Orthopaedic Hand Surgery Physician
—
—
207XS0117X
Orthopaedic Surgery of the Spine Physician
—
—
207XX0004X
Orthopaedic Foot and Ankle Surgery Physician
—
—
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
—
—
Other
Enumeration date
11/11/2021
Last updated
11/11/2021
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