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NPI Code Detail

MEDICARE: GREG ERENS MD

MEDICARE:   GREG  ERENS  MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207XS0114XAdult Reconstructive Orthopaedic Surgery Physician052921GA

General Provider Information

NPI Number : 1295761450
Entity Type Code : Individual
Provider Name (Legal Business Name) : GREG ERENS MD
Provider Business Mailing Address
First Line : 59 EXECUTIVE PARK S
Second Line : SUITE 2000
City : ATLANTA
State : GA
Zip : 30329-2208
Country : US
Telephone Number : 404-778-3347
Fax Number : 404-778-3835
Provider Business Practice Location Address
First Line : 59 EXECUTIVE PARK S
Second Line : SUITE 2000
City : ATLANTA
State : GA
Zip : 30329-2208
Country : US
Telephone Number : 404-778-3347
Fax Number : 404-778-3835
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/22/2006
Last Update Date : 12/06/2010

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Directions to “ GREG ERENS MD” Practice Location

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