OrganizationActive
Georgia Sports Orthopedic Specialists
NPI 1053466615 · Sports Medicine (Orthopaedic Surgery) Physician · Gainesville, GA
Provider details
- NPI number
- 1053466615
- Entity type
- Organization
- Primary specialty
- Sports Medicine (Orthopaedic Surgery) PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Heather Couch, Cma, Adminisrtative(770) 532-0503
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
1466 Jesse Jewell Pkwy Se
Gainesville, GA 30501-3852
Phone: (770) 532-0503
Fax: (770) 532-2284
Approximate (ZIP-level) locationGet directions
Mailing address
1466 Jesse Jewell Pkwy Se
Gainesville, GA 30501-3852
Registry dates
- Enumerated
- 2007-01-24
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.