Provider Demographics
NPI:1295761450
Name:ERENS, GREG (MD)
Entity type:Individual
Prefix:
First Name:GREG
Middle Name:
Last Name:ERENS
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:59 EXECUTIVE PARK S
Mailing Address - Street 2:SUITE 2000
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30329-2208
Mailing Address - Country:US
Mailing Address - Phone:404-778-3347
Mailing Address - Fax:404-778-3835
Practice Address - Street 1:59 EXECUTIVE PARK S
Practice Address - Street 2:SUITE 2000
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30329-2208
Practice Address - Country:US
Practice Address - Phone:404-778-3347
Practice Address - Fax:404-778-3835
Is Sole Proprietor?:No
Enumeration Date:2006-06-22
Last Update Date:2010-12-06
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
GA052921207XS0114X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207XS0114XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryAdult Reconstructive Orthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
H36559Medicare UPIN