Individual
GREG A HERZOG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1211 SHERWOOD PARK DR NE STE A, GAINESVILLE, GA 30501-3444
(770) 219-3202
(770) 219-3209
Mailing address
PO BOX 742616, ATLANTA, GA 30374-2616
(770) 219-8420
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
LL31025
SC
207X00000X
Orthopaedic Surgery Physician
ME114990
FL
207XX0801X
Orthopaedic Trauma Physician
Primary
071970
GA
Other
Enumeration date
06/23/2008
Last updated
12/03/2020
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