Gwinnett Bone & Joint Specialist
Orthopaedic Surgery in Snellville, GA. Organization (NPI-2).
NPI number1770688392
StatusActive
Last updated in NPPESAug 22, 2020
Details
- NPI
- 1770688392
- Entity type
- Organization (NPI-2)
- Legal business name
- Gwinnett Bone & Joint Specialist
- Organization subpart
- No
- Enumeration date
- Sep 14, 2006
- Last updated
- Aug 22, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207X00000X | Orthopaedic Surgery | – | GA | Yes |
Practice location
2400 Wisteria DrSuite A
Snellville, GA 30078-2689
Phone 404-296-5005 · Fax 404-296-5058
Mailing address
2400 Wisteria DrSuite A
Snellville, GA 30078-2689
Phone 404-296-5005 · Fax 404-296-5058
Authorized official
Chera L Hudson
Billing Manager
4042965005
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