Organization
GEORGIA SPORTS ORTHOPEDIC SPECIALISTS, L.L.C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRENT R NOON CEO (CHIEF OPERATING OFFICER)
(770) 532-0503
Entity
Organization
Contact information
Practice address
1466 JESSE JEWELL PKWY SE, GAINESVILLE, GA 30501-3852
(770) 532-0503
(770) 534-6942
Mailing address
1466 JESSE JEWELL PKWY SE, GAINESVILLE, GA 30501-3852
(770) 532-0503
(770) 534-6942
Taxonomy
Speciality
Code
Description
License number
State
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
—
—
Other
Enumeration date
02/11/2008
Last updated
02/11/2008
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