Organization
ORTHOATLANTA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TEYANNA CONYERS (DIRECTOR OF CREDENTIALING)
(678) 680-4945
Entity
Organization
Contact information
Practice address
3929 PEACHTREE RD NE STE 250, BROOKHAVEN, GA 30319-3374
(404) 352-1053
(404) 350-0840
Mailing address
900 CIRCLE 75 PKWY SE STE 1700, ATLANTA, GA 30339-3087
(770) 953-6929
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
207XS0106X
Orthopaedic Hand Surgery Physician
—
—
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
—
—
208100000X
Physical Medicine & Rehabilitation Physician
—
—
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
—
—
225X00000X
Occupational Therapist
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
Other
Enumeration date
09/09/2020
Last updated
03/24/2025
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