MEDICARE: ATLANTA ORTHOPAEDIC SPECIALISTS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207X00000X	Orthopaedic Surgery Physician	019069	GA

General Provider Information

NPI Number	:	1366627432
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ATLANTA ORTHOPAEDIC SPECIALISTS

Provider Business Mailing Address
First Line	:	1163 JOHNSON FERRY ROAD
Second Line	:	SUITE 200
City	:	MARIETTA
State	:	GA
Zip	:	30068-2764
Country	:	US
Telephone Number	:	770-977-7777
Fax Number	:

Provider Business Practice Location Address
First Line	:	1163 JOHNSON FERRY RD
Second Line	:	SUITE 200
City	:	MARIETTA
State	:	GA
Zip	:	30068-2764
Country	:	US
Telephone Number	:	770-977-7777
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. HUGH C MCLEOD
Credential	:	M.D.
Telephone Number	:	770-977-7777

Provider Enumeration Date	:	01/08/2008
Last Update Date	:	03/11/2008

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