Organization
GEORGIA SPORTS ORTHOPEDIC SPECIALISTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HEATHER A COUCH (CMA, ADMINISRTATIVE)
(770) 532-0503
Entity
Organization
Contact information
Practice address
1466 JESSE JEWELL PKWY SE, GAINESVILLE, GA 30501-3852
(770) 532-0503
(770) 532-2284
Mailing address
1466 JESSE JEWELL PKWY SE, GAINESVILLE, GA 30501-3852
(770) 532-0503
(770) 532-2284
Taxonomy
Speciality
Code
Description
License number
State
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
—
—
Other
Enumeration date
01/24/2007
Last updated
08/22/2020
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