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Organization
ATLANTA KNEE AND SHOULDER CLINIC PC
Active
Organization
ATLANTA KNEE AND SHOULDER CLINIC PC
Active
Other names
Atlanta Orthopedic Institute
Organization subpart
No
Provider details
NPI number
Authorized official
NICOLE SISKO (CREDENTIALING SPECIALIST)
(727) 755-0693
Entity
Organization
Contact information
Practice address
3200 DOWNWOOD CIR NW, SUITE 410, ATLANTA, GA 30327-1610
(727) 755-0693
(727) 755-0679
Mailing address
PO BOX 9830, SALT LAKE CITY, UT 84109-9830
(727) 755-0693
(727) 755-0679
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
33524
GA
Other
Enumeration date
12/18/2015
Last updated
12/18/2015
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