institution
Edg Sports Medicine,inc
Surgical Physician Assistant in Decatur, Georgia
NPI 1114169703

Edg Sports Medicine,inc is a Surgical Physician Assistant based in Atlanta, GA and is specialized in Surgical. Edg Sports Medicine,inc practices in Decatur, GA. The NPI Number for Edg Sports Medicine,inc is 1114169703 and holds a License No. 1857 (Georgia).

The current practice location address for Edg Sports Medicine,inc is 2801 N Decatur Rd, Decatur, GA and can be reached out via phone at 404-296-5005 and via fax at 404-296-5058. You can also correspond with Edg Sports Medicine,inc through the mailing address at 1230 BRIARVISTA WAY, ATLANTA, GA - 30329 (mailing address contact number: 404-296-5005).

Location: 2801 N Decatur Rd, Decatur, GA, 30329
institution
Provider Profile Details
NPI Number
1114169703
Provider Name
Edg Sports Medicine,inc
Credential
Provider Entity Type
Organization
Address
2801 N Decatur Rd, Decatur, GA, 30329
Phone Number
404-296-5005
Fax Number
404-296-5058
Provider Enumeration Date
03/30/2009
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2801 N Decatur Rd
City
State
Zip
30033-5949
Phone Number
404-296-5005
Fax Number
404-296-5058
person
Provider Business Mailing Address Details
Address
2801 N Decatur Rd
City
State
Zip
30033-5949
Phone Number
404-296-5005
Fax Number
404-296-5058
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
License No.
1857 (Georgia)
Definition
Definition to come...
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