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THE SPORTS MEDICINE & ORTHOPAEDIC INSTITUTE OF GWINNETT NPI 1912067646


NPI Information

NPI: 1912067646
Provider Name: THE SPORTS MEDICINE & ORTHOPAEDIC INSTITUTE OF GWINNETT
Classification: Specialist - 174400000X
Entity Type: Organization
Address:
3855 PLEASANT HILL RD
SUITE 470
DULUTH, GA
ZIP 30096
Phone: (770) 813-8888
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THE SPORTS MEDICINE & ORTHOPAEDIC INSTITUTE OF GWINNETT is a specialist in Duluth, GA. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. THE SPORTS MEDICINE & ORTHOPAEDIC INSTITUTE OF GWINNETT NPI is 1912067646. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3855 PLEASANT HILL RD
SUITE 470
DULUTH, GA
ZIP 30096-407
Phone: (770) 813-8888

The provider's authorized official is Timothy Scott Maughon .
The authorized official title is President and has the following contact phone number (770) 813-8888.

The enumeration date for this NPI number is 12/11/2006 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1174400000XSpecialist031472GEORGIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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