Organization
THE SPORTS MEDICINE & ORTHOPAEDIC INSTITUTE OF GWINNETT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOTHY SCOTT MAUGHON MD (PRESIDENT)
(770) 813-8888
Entity
Organization
Contact information
Practice address
3855 PLEASANT HILL RD, SUITE 470, DULUTH, GA 30096-1407
(770) 813-8888
Mailing address
3855 PLEASANT HILL RD, SUITE 470, DULUTH, GA 30096-1407
(770) 813-8888
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
031472
GA
Other
Enumeration date
12/11/2006
Last updated
08/22/2020
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