Atlantica Tech Corp

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

060402 Issued in GA

Legal business name

ATLANTICA TECH CORP

Practice address

2484 Briarcliff Rd NE
Ste 22-374
Atlanta, GA 30329-3011

Phone

(404) 729-4520

NPI assigned

Sep 28, 2010

Last updated

Sep 28, 2010By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Jonathan Lynch

Title

Ceo

Phone

(404) 729-4520

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1285632000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1285632000000",
    "number": "1750690533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2484 BRIARCLIFF RD NE",
            "address_2": "STE 22-374",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303293011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2484 BRIARCLIFF RD NE",
            "address_2": "STE 22-374",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303293011",
            "telephone_number": "404-729-4520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATLANTICA TECH CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-28",
        "last_updated": "2010-09-28",
        "status": "A",
        "authorized_official_last_name": "LYNCH",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "404-729-4520"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "060402",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Family Medicine Physician in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Family Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.