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
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