# ATLANTA KNEE AND SHOULDER CLINIC PC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Atlanta Orthopedic Institute
- **Organization subpart:** No

## Provider details

- **NPI number:** 1831554765
- **Authorized official:** NICOLE SISKO (CREDENTIALING SPECIALIST)
- **Authorized official phone:** (727) 755-0693

## Contact information

- **Practice address:** 3200 DOWNWOOD CIR NW, SUITE 410, ATLANTA, GA 30327-1610
- **Practice address phone:** (727) 755-0693
- **Practice address fax:** (727) 755-0679
- **Mailing address:** PO BOX 9830, SALT LAKE CITY, UT 84109-9830
- **Mailing address phone:** (727) 755-0693
- **Mailing address fax:** (727) 755-0679

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332900000X | Non-Pharmacy Dispensing Site | 33524 | GA | Yes |

## Other

- **Enumeration date:** 12/18/2015
- **Last updated:** 12/18/2015