Organization
ORTHOATLANTA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL OCHAL (CEO)
(770) 953-6829
Entity
Organization
Contact information
Practice address
620 CHEROKEE ST NE STE 300, MARIETTA, GA 30060-7202
(770) 635-1812
(404) 477-1176
Mailing address
900 CIRCLE 75 PKWY SE STE 1700, ATLANTA, GA 30339-3087
(770) 953-6929
(770) 953-6972
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
207XS0106X
Orthopaedic Hand Surgery Physician
—
—
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
—
—
207XS0117X
Orthopaedic Surgery of the Spine Physician
—
—
207XX0004X
Orthopaedic Foot and Ankle Surgery Physician
—
—
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
—
—
208100000X
Physical Medicine & Rehabilitation Physician
—
—
2251X0800X
Orthopedic Physical Therapist
—
—
225X00000X
Occupational Therapist
—
—
363A00000X
Physician Assistant
—
—
Other
Enumeration date
08/15/2019
Last updated
08/15/2019
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