Organization
ORTHO SPORT AND SPINE PHYSICIANS JACKSON
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FAITH A BELTZHOOVER (REVENUE CYCLE MANAGEMENT DIRECTOR)
(678) 752-7246
Entity
Organization
Contact information
Practice address
4316 OLD CANTON RD, JACKSON, MS 39211-5995
(678) 752-7246
Mailing address
5788 ROSWELL RD STE 100, ATLANTA, GA 30328-4904
(678) 752-7246
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
Other
Enumeration date
10/27/2021
Last updated
10/27/2021
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