Provider Demographics
NPI:1235240623
Name:GWINNETT ORTHOPEDICS PC
Entity Type:Organization
Organization Name:GWINNETT ORTHOPEDICS PC
Other - Org Name:ATLANTA ORTHOPEDICS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRACTICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:HELLEN
Authorized Official - Middle Name:
Authorized Official - Last Name:PENDLEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:770-963-6300
Mailing Address - Street 1:2108 TERON TRCE
Mailing Address - Street 2:HAMILTON MILL STATION
Mailing Address - City:DACULA
Mailing Address - State:GA
Mailing Address - Zip Code:30019-1662
Mailing Address - Country:US
Mailing Address - Phone:678-318-8020
Mailing Address - Fax:678-318-8025
Practice Address - Street 1:2108 TERON TRCE
Practice Address - Street 2:HAMILTON MILL STATION
Practice Address - City:DACULA
Practice Address - State:GA
Practice Address - Zip Code:30019-1662
Practice Address - Country:US
Practice Address - Phone:678-318-8020
Practice Address - Fax:678-318-8025
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-31
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Multi-Specialty