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NPI Code Detail

MEDICARE: GEORGIA BONE & JOINT SURGEONS, P.C.

MEDICARE: GEORGIA BONE & JOINT SURGEONS, P.C.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QA1903XAmbulatory Surgical Clinic/Center008151GA

General Provider Information

NPI Number : 1578748620
Entity Type Code : Organization
Provider Name (Legal Business Name) : GEORGIA BONE & JOINT SURGEONS, P.C.
Provider Business Mailing Address
First Line : 15 MEDICAL DR NE STE 101
Second Line :
City : CARTERSVILLE
State : GA
Zip : 30121-8005
Country : US
Telephone Number : 770-386-5221
Fax Number : 770-382-2591
Provider Business Practice Location Address
First Line : 15 MEDICAL DR NE STE 101
Second Line :
City : CARTERSVILLE
State : GA
Zip : 30121-8005
Country : US
Telephone Number : 770-386-5221
Fax Number : 770-382-2591
Authorized Official
Title or Position : ADMINISTRATOR
Name : ABBY HOLDEN
Credential :
Telephone Number : 770-386-5221
Provider Enumeration Date : 01/08/2008
Last Update Date : 01/04/2026

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Directions to “GEORGIA BONE & JOINT SURGEONS, P.C. ” Practice Location

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