Orthoatlanta, LLC
Orthopaedic Surgery in Lawrenceville, GA. Organization (NPI-2).
NPI number1043331978
StatusActive
Last updated in NPPESMar 24, 2025
Details
- NPI
- 1043331978
- Entity type
- Organization (NPI-2)
- Legal business name
- Orthoatlanta, LLC
- Organization subpart
- No
- Enumeration date
- Apr 2, 2007
- Certification date
- Mar 24, 2025
- Last updated
- Mar 24, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207X00000X | Orthopaedic Surgery | – | GA | Yes |
| 207XS0106X | Orthopaedic Surgery, Hand Surgery | – | – | |
| 207XS0114X | Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery | – | – | |
| 207XX0004X | Orthopaedic Surgery, Foot and Ankle Surgery | – | – | |
| 207XX0005X | Orthopaedic Surgery, Sports Medicine | – | GA | |
| 2081P2900X | Physical Medicine & Rehabilitation, Pain Medicine | – | GA | |
| 2251X0800X | Physical Therapist, Orthopedic | – | GA | |
| 363A00000X | Physician Assistant | – | GA |
Practice location
771 Old Norcross RdSuites 155 / 390
Lawrenceville, GA 30046-4386
Phone 678-205-4261 · Fax 947-417-7187
Mailing address
3100 Interstate North Cir Se Ste 500Atlanta, GA 30339-2296
Phone 770-953-6929 · Fax 770-953-6972
Authorized official
Michael Ochal
Ceo
7709536929
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All 27 Orthopaedic Surgery Physician providers in Lawrenceville · All 5,967 providers in Lawrenceville
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