# DG SPORTS MEDICINE & WELLNESS, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1902487903
- **Authorized official:** DR. DIARA GROSS DO (OWNER)
- **Authorized official phone:** (678) 595-7483

## Contact information

- **Practice address:** 2625 PIEDMONT RD NE STE 56-435, ATLANTA, GA 30324-3086
- **Practice address phone:** (678) 749-7020
- **Mailing address:** 2625 PIEDMONT RD NE STE 56-435, ATLANTA, GA 30324-3086

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2081S0010X | Sports Medicine (Physical Medicine & Rehabilitation) Physician | — | NULL | Yes |
| 2081S0010X | Sports Medicine (Physical Medicine & Rehabilitation) Physician | — | — | Yes |

## Other

- **Enumeration date:** 04/20/2021
- **Last updated:** 04/20/2021