SPORTS MEDICINE SOUTH OF GWINNETT LLC

LAWRENCEVILLE, GA
NPI1265053110
Entity TypeOrganization
Authorized ContactJORGE HERNANDEZ
VP/Cco
404-851-8000
Organization Subpart ?No
Primary Taxonomy207XX0005X Orthopaedic Surgery, Sports Medicine
Enumeration Date2020-05-01
Last Update Date2021-08-12
Business Address
SPORTS MEDICINE SOUTH OF GWINNETT LLC
1900 RIVERSIDE PKWY
LAWRENCEVILLE, GA 30043-5925
Phone number: 770-237-3475
Mailing Address
SPORTS MEDICINE SOUTH OF GWINNETT LLC
1001 SUMMIT BLVD STE 1000
BROOKHAVEN, GA 30319-6415
Phone number: 404-851-8000
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