Organization
ELITE SPORTS MEDICINE
Active
Organization
ELITE SPORTS MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STEVEN RAY HATFIELD DPT ATC (PHYSICAL THERAPIST PRESIDENT)
(770) 271-1488
Entity
Organization
Contact information
Practice address
2085 HAMILTON CREEK PKWY, STE 160, DACULA, GA 30019
(770) 271-1488
(770) 271-1822
Mailing address
2085 HAMILTON CREEK PKWY, STE 160, DACULA, GA 30019
(770) 271-1488
(770) 271-1822
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5620519
FIRST HEALTH
GA
01
—
692612
UNITED HEALTHCARE
GA
01
—
7758698
AETNA
GA
Enumeration date
07/31/2006
Last updated
03/14/2013
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