MEDICARE: DR. GREGORY A WOODS M.D.

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
1	207X00000X	Orthopaedic Surgery Physician	72174	GA
2	207XX0005X	Sports Medicine (Orthopaedic Surgery) Physician	72174	GA

General Provider Information

NPI Number	:	1720073778
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. GREGORY A WOODS M.D.

Provider Business Mailing Address
First Line	:	1404 RIVER PL
Second Line	:	SUITE 401
City	:	BRASELTON
State	:	GA
Zip	:	30517-5600
Country	:	US
Telephone Number	:	770-848-6190
Fax Number	:	770-848-5364

Provider Business Practice Location Address
First Line	:	1404 RIVER PL
Second Line	:	SUITE 401
City	:	BRASELTON
State	:	GA
Zip	:	30517-5600
Country	:	US
Telephone Number	:	770-848-6190
Fax Number	:	770-848-5364

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/15/2005
Last Update Date	:	03/29/2026

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Directions to “ DR. GREGORY A WOODS M.D.” Practice Location

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