Provider Demographics
NPI:1275124992
Name:ATLANTA TREATMENT LLC
Entity Type:Organization
Organization Name:ATLANTA TREATMENT LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:JOSHUA
Authorized Official - Middle Name:
Authorized Official - Last Name:YAGER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:404-626-0807
Mailing Address - Street 1:1640 POWERS FERRY RD SE BLDG 15-200
Mailing Address - Street 2:
Mailing Address - City:MARIETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30067-1482
Mailing Address - Country:US
Mailing Address - Phone:678-379-3111
Mailing Address - Fax:
Practice Address - Street 1:1640 POWERS FERRY RD SE BLDG 15-200
Practice Address - Street 2:
Practice Address - City:MARIETTA
Practice Address - State:GA
Practice Address - Zip Code:30067-1482
Practice Address - Country:US
Practice Address - Phone:678-379-3111
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-01-27
Last Update Date:2021-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center