Organization · Type 2 NPI

Sports Medicine South of Gwinnett LLC

Sports Medicine (Orthopaedic Surgery) Physician · Lawrenceville, GA

NPI number 1265053110 Active

Practice location

1900 Riverside Pkwy
Lawrenceville, GA 30043-5925

Mailing address

1001 Summit Blvd Ste 1000
Brookhaven, GA 30319-6415

Specialties and licenses

TaxonomyCodeLicense
Sports Medicine (Orthopaedic Surgery) Physician Primary 207XX0005XNone listed

Sports Medicine (Orthopaedic Surgery) Physician: An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the te…

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About NPI 1265053110

Sports Medicine South of Gwinnett LLC's National Provider Identifier is 1265053110, issued on May 1, 2020. The primary taxonomy on file is Sports Medicine (Orthopaedic Surgery) Physician (207XX0005X), and the practice location is in Lawrenceville, GA. The record was last updated on May 18, 2026.