MEDICARE: ATP MANAGEMENT, INC

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	251E00000X	Home Health Agency	044017481	GA

General Provider Information

NPI Number	:	1619118387
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ATP MANAGEMENT, INC

Provider Business Mailing Address
First Line	:	PO BOX 1585
Second Line	:
City	:	MARIETTA
State	:	GA
Zip	:	30061-1585
Country	:	US
Telephone Number	:	404-484-5562
Fax Number	:	404-393-9502

Provider Business Practice Location Address
First Line	:	3147 ARDLEY RD SW
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30311-3001
Country	:	US
Telephone Number	:	404-699-5700
Fax Number	:	404-393-9502

Authorized Official
Title or Position	:	PRES/CEO
Name	:	MR. LARRY SKIPPER
Credential	:
Telephone Number	:	404-484-5562

Provider Enumeration Date	:	03/10/2009
Last Update Date	:	03/10/2009

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