Georgia Sports Medicine, Llc in Duluth - Sports Medicine
Georgia Sports Medicine, Llc - NPI 1710160601
Georgia Sports Medicine, Llc is a Sports Medicine in Duluth, Georgia. Georgia Sports Medicine, Llc practices all healthcare services and medical treatments related to Sports Medicine. The NPI Number for Georgia Sports Medicine, Llc is 1710160601. The last update date is 2011-10-07.
Georgia Sports Medicine, Llc's current location address is 6340 Sugarloaf Pkwy, Duluth, Georgia. You can contact this provider via phone number 7708142223 and fax number 7708142232. The mailing address for Georgia Sports Medicine, Llc is 6340 Sugarloaf Pkwy, Duluth, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Georgia Sports Medicine, Llc |
|---|---|
| Address | 6340 Sugarloaf Pkwy, Duluth, Georgia |
| Phone Number | 7708142223 |
| Fax Number | 7708142232 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PROPIETOR |
|---|---|
| Authorized Official Name | Cullen Mark |
| Credentials | MD |
| Telephone Number | 7708142223 |
NPI Number Detail
| NPI Number | 1710160601 |
|---|---|
| Provider Enumeration Date | 2007-12-13 |
| Last Updated Date | 2011-10-07 |
Provider Mailing Address Detail
| Address | 6340 Sugarloaf Pkwy |
|---|---|
| City | Duluth |
| State | Georgia (GA) |
| Post Code | 300974333 |
| Phone Number | 7708142223 |
| Fax Number | 7708142232 |
Provider's Primary Taxonomy Detail
| Speciality | Sports Medicine |
|---|---|
| Taxonomy | 207Xx0005X |
| Licence No | 43191 |
|
Definition: An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, train |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| GRP5069 | GA | MEDICARE GROUP ID |
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What is the Georgia Sports Medicine, Llc's unique identification number?
The Georgia Sports Medicine, Llc has been assigned the NPI (National Provider Identifier) Number 1710160601 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Where is the Georgia Sports Medicine, Llc located?
The Georgia Sports Medicine, Llc is located at 6340 Sugarloaf Pkwy, Duluth, GA 300974333.
What is Georgia Sports Medicine, Llc's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Georgia Sports Medicine, Llc is Sports Medicine, and the taxonomy code that classifies this field of practice is 207Xx0005X.
When did the Georgia Sports Medicine, Llc receive its 1710160601?
The Georgia Sports Medicine, Llc was issued its 1710160601 on 2007-12-13, which is the date when the organization was assigned this unique identifier.
When was the information regarding Georgia Sports Medicine, Llc, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Georgia Sports Medicine, Llc, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2011-10-07.
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