St. Mary Spine and Sport Injuries Rehab

NPI #1992479596 in Bloomingdale, Georgia

Provider Information

NPI Number: 1992479596
Entity Type: Organization
Organization Name: St. Mary Spine and Sport Injuries Rehab
Primary Specialty: Internal Medicine
Enumeration Date: Aug 6, 2021
Last Updated: May 30, 2024

Practice Location

Address: 502 E US HIGHWAY 80 STE D
City: Bloomingdale
State: Georgia
ZIP Code: 31302-9356
Phone: (912) 999-7275

Authorized Official

Name: NOHA RAOUF SOLIMAN, DO
Title: PROVIDER/OWNER
Phone: (912) 508-8828

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X
Internal Medicine	207R00000X	Primary

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