NPI 1851979827
Ortho Sport & Spine Physicians
Practice location
- Address
- 2310 Henry Clower Blvd STE 100a, Snellville, GA 30078-5776
- Phone
- (678) 752-7246
- Mailing address
- 5788 Roswell Rd, Atlanta, GA 30328-4904
Authorised official
- Name
- Ra'Keshia Brogdon
- Title
- Credentialing Specialist
- Phone
- (404) 941-1233
Registered specialties
Physical Medicine & Rehabilitation Physician
Primary
Registry record
- NPI
- 1851979827
- Entity type
- Organization
- NPI issued
- 31 Mar 2021
- Record last updated
- 31 Mar 2021
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.