Organization
ORTHO SPORT AND SPINE PHYSICIANS DOUGLASVILLE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FAITH A BELTZHOOVER (BILLING DIRECTOR)
(678) 752-7246
Entity
Organization
Contact information
Practice address
6043 PRESTLEY MILL RD, DOUGLASVILLE, GA 30134-2280
(678) 752-7246
Mailing address
5788 ROSWELL RD STE 100, ATLANTA, GA 30328-4904
(678) 752-7246
(770) 234-5326
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
Other
Enumeration date
10/27/2020
Last updated
02/22/2021
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