Healthcare Provider Details

I. General information

NPI: 1710472105
Provider Name (Legal Business Name): MARGARET SHERLOCK LAT, ATC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/27/2018
Last Update Date: 11/06/2026
Certification Date: 11/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6751 ROSWELL RD
SANDY SPRINGS GA
30328-2501
US

IV. Provider business mailing address

915 W PEACHTREE ST NW UNIT 306
ATLANTA GA
30309-4617
US

V. Phone/Fax

Practice location:
  • Phone: 404-917-2500
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2255A2300X
TaxonomyAthletic Trainer
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: