OrganizationActive
Atl Orthopedics Medical Group LLC
NPI 1124784368 · Orthopaedic Surgery Physician · Atlanta, GA
Provider details
- NPI number
- 1124784368
- Entity type
- Organization
- Primary specialty
- Orthopaedic Surgery PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Latricia Bass, Ceo(404) 662-3585
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Orthopaedic Hand Surgery Physician207XS0106X
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
3885 Princeton Lakes Way Sw Ste 306
Atlanta, GA 30331-7100
Phone: (404) 662-3585
Approximate (ZIP-level) locationGet directions
Mailing address
4143 Randall Ct Nw
Atlanta, GA 30327-3711
Registry dates
- Enumerated
- 2021-11-11
- Last updated
- 2021-11-11
- Certified
- 2021-11-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.