Healthcare Provider Details

I. General information

NPI: 1942675640
Provider Name (Legal Business Name): ATLANTA HAND THERAPY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/07/2015
Last Update Date: 12/07/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

600 PROFESSIONAL DR SUITE 100
LAWRENCEVILLE GA
30046-7651
US

IV. Provider business mailing address

3968 FELTON HILL RD SW SUITE100
SMYRNA GA
30082-3512
US

V. Phone/Fax

Practice location:
  • Phone: 678-214-6960
  • Fax: 770-333-7889
Mailing address:
  • Phone: 678-214-6960
  • Fax: 770-333-7889

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225XH1200X
TaxonomyHand Occupational Therapist
License Number
License Number State

VIII. Authorized Official

Name: VIRALKUMAR PATEL
Title or Position: CEO
Credential: MD
Phone: 678-214-6960