Organization
ATLANTA KNEE AND SHOULDER CLINIC PC
Active
Other names
Atlanta Orthopedic Institute
Organization subpart
No
Provider details
NPI number
Authorized official
NICOLE SISKO (CREDENTIALING SPECIALIST)
(727) 755-0693
Entity
Organization
Contact information
Practice address
3200 DOWNWOOD CIR NW, SUITE 410, ATLANTA, GA 30327-1610
(727) 755-0693
(727) 755-0679
Mailing address
PO BOX 9830, SALT LAKE CITY, UT 84109-9830
(727) 755-0693
(727) 755-0679
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
33524
GA
Other
Enumeration date
12/18/2015
Last updated
12/18/2015
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