Organization
PARAGON SPORTS MEDICINE LLC
Active
Other names
Paragon sports Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES EDWARDS GARTEN MD (MD OWNER)
(470) 270-8978
Entity
Organization
Contact information
Practice address
3280 HOWELL MILL RD NW, STE 250, ATLANTA, GA 30327-4111
(470) 270-8978
(470) 355-7133
Mailing address
3280 HOWELL MILL RD NW, STE 250, ATLANTA, GA 30327-4111
(470) 270-8978
(470) 355-7133
Taxonomy
Speciality
Code
Description
License number
State
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
56449
GA
2083P0901X
Public Health & General Preventive Medicine Physician
56449
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
056449
LICENSE
GA
Enumeration date
06/14/2016
Last updated
03/07/2023
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