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Organization

ORTHOATLANTA, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MICHAEL OCHAL (CEO)
(770) 953-6929
Entity
Organization

Contact information

Practice address
3525 BUSBEE DR NW, KENNESAW, GA 30144-5677
(404) 352-1053
(404) 350-0840
Mailing address
900 CIRCLE 75 PKWY SE, SUITE 1700, ATLANTA, GA 30339-3035
(770) 953-6929
(770) 953-6972

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
363A00000X
Physician Assistant

Other

Enumeration date
09/13/2009
Last updated
09/13/2017
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