Organization
PEACHTREE ORTHOPAEDIC CLINIC OF GEORGIA, LLC
Active
Other names
Peachtree Orthopedics at Braselton, Peachtree Orthopaedic Clinic at Braselton, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
JOI M KING (REV CYCLE LEADER)
(215) 873-4811
Entity
Organization
Contact information
Practice address
1524 RIVER PL STE 200, BRASELTON, GA 30517-5614
(404) 355-0743
(833) 450-5581
Mailing address
3200 DOWNWOOD CIR NW FL 7, ATLANTA, GA 30327-1610
(215) 873-4811
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
207XP3100X
Pediatric Orthopaedic Surgery Physician
—
—
207XS0106X
Orthopaedic Hand Surgery Physician
—
—
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
—
—
207XS0117X
Orthopaedic Surgery of the Spine Physician
—
—
207XX0004X
Orthopaedic Foot and Ankle Surgery Physician
—
—
207XX0801X
Orthopaedic Trauma Physician
—
—
261Q00000X
Clinic/Center
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Enumeration date
08/29/2024
Last updated
03/23/2026
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