Organization
GWINNETT SPORTS MEDICINE & ORTHOPAEDIC SURGERY PC
Active
Other names
Atlanta Center for Athletes
Organization subpart
No
Provider details
NPI number
Authorized official
MR. FRED WOESTMANN (ADMINISTRATOR)
(770) 622-4499
Entity
Organization
Contact information
Practice address
10680 MEDLOCK BRIDGE ROAD, STE 102, DULUTH, GA 30097
(770) 622-4499
(770) 622-0315
Mailing address
10680 MEDLOCK BRIDGE ROAD, STE 102, DULUTH, GA 30097
(770) 622-4499
(770) 622-0315
Taxonomy
Speciality
Code
Description
License number
State
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
—
—
Other
Enumeration date
10/03/2006
Last updated
02/13/2008
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