Organization
ST. MARY SPINE AND SPORT INJURIES REHAB
Active
Organization
ST. MARY SPINE AND SPORT INJURIES REHAB
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NOHA RAOUF SOLIMAN DO (PROVIDER/OWNER)
(912) 508-8828
Entity
Organization
Contact information
Practice address
502 E US HIGHWAY 80 STE D, BLOOMINGDALE, GA 31302-9356
(912) 999-7275
(912) 988-3748
Mailing address
502 E US HIGHWAY 80 STE D, BLOOMINGDALE, GA 31302-9356
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
225100000X
Physical Therapist
—
—
Other
Enumeration date
08/06/2021
Last updated
05/30/2024
Update your record
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