Registry details
Type
Individual
Primary specialty
Orthopaedic Surgery
Enumerated
Sep 20, 2005
License(s)
039030 (GA)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| MAILING | 1285 HEMBREE RD SUITE 200-A | Roswell, GA 30076-5720 | 770-475-2710 |
| LOCATION | 1285 HEMBREE RD SUITE 200-A | Roswell, GA 30076-5720 | 770-475-2710 |
Watch this provider
Get a webhook/email the day this provider is added to the OIG-LEIE exclusion list or appears in an FDA enforcement action.