Organization
GEORGIA SPORTS MEDICINE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK CULLEN MD (PROPIETOR)
(770) 814-2223
Entity
Organization
Contact information
Practice address
6340 SUGARLOAF PKWY, STE 375, DULUTH, GA 30097-4333
(770) 814-2223
(770) 814-2232
Mailing address
6340 SUGARLOAF PKWY, STE 375, DULUTH, GA 30097-4333
(770) 814-2223
(770) 814-2232
Taxonomy
Speciality
Code
Description
License number
State
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
043191
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
GRP5069
MEDICARE GROUP ID
GA
Enumeration date
12/13/2007
Last updated
10/07/2011
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us