Northeast Georgia Physicians Group, Inc.

NPI #1104009059 in Hoschton, Georgia

Provider Information

NPI Number
1104009059
Entity Type
Organization
Organization Name
Northeast Georgia Physicians Group, Inc.
Primary Specialty
Family Medicine - Sports Medicine
Enumeration Date
Dec 14, 2007
Last Updated
Apr 15, 2011

Practice Location

Address
115 TOWNE CENTER PKWY
Address 2
SUITE 113
State
Georgia
ZIP Code
30548-2213
Phone
(706) 658-2452

Authorized Official

Name
MR. J. SHANNON GLOVER
Title
EXEC. DIRECTOR MANAGED CARE
Phone
(770) 219-7826

Specialties & Taxonomy Codes

Specialty
Family Medicine - Sports MedicineSports Medicine

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