Organization
GEORGIA SPORTS MEDICINE SPECIALISTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROSS JOSEPH BRAKEVILLE (OWNER)
(678) 469-3007
Entity
Organization
Contact information
Practice address
2300 KINSALE POINT, KENNESAW, GA 30152-6756
(678) 469-3007
Mailing address
2300 KINSALE POINT, KENNESAW, GA 30152-6756
(678) 469-3007
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
01/02/2025
Last updated
07/08/2025
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