Whalio Doctors

NPI 1851979827

Ortho Sport & Spine Physicians

Organisation Physical Medicine & Rehabilitation Physician Snellville, GA

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
Allopathic & Osteopathic Physicians Taxonomy 208100000X

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.