Organization
GEORGIA KNEE & SPORTS MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN PALLONE (PRACTICE MANAGER)
(404) 296-5005
Entity
Organization
Contact information
Practice address
2801 N DECATUR ROAD, DECATUR, GA 30033-5949
(404) 296-5005
(404) 296-9417
Mailing address
2801 N DECATUR RD, DECATUR, GA 30033-5949
(404) 296-5005
(404) 296-9417
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
GA
Other
Enumeration date
06/15/2007
Last updated
08/22/2020
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