| St. Mary Spine And Sport Injuries Rehab | |
|
502 E Us Highway 80 Ste D Bloomingdale GA 31302-9356 | |
| (912) 999-7275 | |
| (912) 988-3748 |
| Full Name | St. Mary Spine And Sport Injuries Rehab |
|---|---|
| Speciality | Internal Medicine |
| Location | 502 E Us Highway 80 Ste D, Bloomingdale, Georgia |
| Authorized Official Name and Position | Noha Raouf Soliman (PROVIDER/OWNER) |
| Authorized Official Contact | 9125088828 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| St. Mary Spine And Sport Injuries Rehab 502 E Us Highway 80 Ste D Bloomingdale GA 31302-9356 Ph: () - | St. Mary Spine And Sport Injuries Rehab 502 E Us Highway 80 Ste D Bloomingdale GA 31302-9356 Ph: (912) 999-7275 |
| NPI Number | 1992479596 |
|---|---|
| Provider Enumeration Date | 08/06/2021 |
| Last Update Date | 05/30/2024 |
| Medicare PECOS PAC ID | 1456757889 |
|---|---|
| Medicare Enrollment ID | O20211201002888 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992479596 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| 225100000X | Physical Therapist | (* (Not Available)) | Secondary |
| Provider Name | Noha Soliman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023066206 PECOS PAC ID: 5395773899 Enrollment ID: I20170620000584 |
Curtis V. Cooper Primary Health Care, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2451 Little Neck Rd, Bloomingdale, GA 31302 Phone: 912-527-1000 | |
Walker Health And Wellness Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 111 Bradford Dr, Bloomingdale, GA 31302 Phone: 614-679-6042 |