# SOUTH ATLANTA JOINT & REHAB

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Parent organization:** PHENIX CITY JOINT & REHAB, LLC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1073160404
- **Legal business name:** PHENIX CITY JOINT & REHAB, LLC
- **Authorized official:** DR. STEPHEN B COOPER DC (OWNER)
- **Authorized official phone:** (877) 495-7773

## Contact information

- **Practice address:** 541 FOREST PKWY STE 14, FOREST PARK, GA 30297-6110
- **Practice address phone:** (706) 404-9011
- **Mailing address:** PO BOX 1601, PHENIX CITY, AL 36868-1601
- **Mailing address phone:** (334) 298-7700

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 08/21/2019
- **Last updated:** 08/21/2019