Organization
DG SPORTS MEDICINE & WELLNESS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DIARA GROSS DO (OWNER)
(678) 595-7483
Entity
Organization
Contact information
Practice address
2625 PIEDMONT RD NE STE 56-435, ATLANTA, GA 30324-3086
(678) 749-7020
Mailing address
2625 PIEDMONT RD NE STE 56-435, ATLANTA, GA 30324-3086
Taxonomy
Speciality
Code
Description
License number
State
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
Primary
—
—
Other
Enumeration date
04/20/2021
Last updated
04/20/2021
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