NPI 1366490757 · live from the CMS NPI Registry
Bennett J. Axelrod, MD
Orthopaedic Surgery in Lawrenceville, GA. National Provider Identifier 1366490757, active.
NPI record
| NPI | 1366490757 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Orthopaedic Surgery 207X00000X |
| Practice location | 500 Medical Center Blvd, Suite 100, Lawrenceville, GA 30045 |
| Practice phone | 770-682-6000 |
| Mailing address | 4055 Johns Creek Pkwy, Ste. A, Suwanee, GA 30024 |
| Enumerated | May 5, 2006 |
| Last updated | March 7, 2023 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Orthopaedic Surgery primary | 207X00000X | 026442 (GA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.