Medipractic LLC
NPI #1699834697 in Loganville, Georgia
Provider Information
- NPI Number
- 1699834697
- Entity Type
- Organization
- Organization Name
- Medipractic LLC
- Primary Specialty
- Neuromusculoskeletal Medicine, Sports Medicine
- Enumeration Date
- Dec 6, 2006
- Last Updated
- Dec 21, 2012
Practice Location
- Address
- 3955 HARRISON RD
- Address 2
- STE. 400
- City
- Loganville
- State
- Georgia
- ZIP Code
- 30052-8501
- Phone
- (770) 496-0326
Authorized Official
- Name
- DR. WILLIAM E WILLIS, DC CDE1 DAAPM
- Title
- SEC
- Phone
- (770) 496-0326
Specialties & Taxonomy Codes
| Specialty |
|---|
| Neuromusculoskeletal Medicine, Sports Medicine |
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