Organization
ATLANTA KNEE AND SHOULDER CLINIC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAJIV D PANDYA M.D. (PRESIDENT)
(770) 389-9005
Entity
Organization
Contact information
Practice address
1035 SOUTHCREST DR, SUITE 100, STOCKBRIDGE, GA 30281
(770) 389-9005
(770) 389-5251
Mailing address
1035 SOUTHCREST DR, SUITE 100, STOCKBRIDGE, GA 30281-6114
(770) 389-9005
(770) 389-5251
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
02/27/2007
Last updated
07/18/2018
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