Healthcare Provider Details

I. General information

NPI: 1548793730
Provider Name (Legal Business Name): RYAN JONATHAN CONE MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/05/2017
Last Update Date: 08/07/2023
Certification Date: 08/07/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3200 DOWNWOOD CIR NW STE 700
ATLANTA GA
30327-5308
US

IV. Provider business mailing address

2001 PEACHTREE RD NE STE 705
ATLANTA GA
30309-1476
US

V. Phone/Fax

Practice location:
  • Phone: 404-355-0743
  • Fax: 855-590-3792
Mailing address:
  • Phone: 404-355-0743
  • Fax: 855-270-3558

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number95042
License Number StateGA
# 2
Primary TaxonomyN
Taxonomy Code207XS0114X
TaxonomyAdult Reconstructive Orthopaedic Surgery Physician
License Number2022009209
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: