Organization · Type 2 NPI

Medipractic LLC

Sports Medicine (Neuromusculoskeletal Medicine) Physician · Loganville, GA

NPI number 1699834697 Active

Practice location

3955 Harrison Rd, Ste. 400
Loganville, GA 30052-8501

Fax (770) 492-9599

Specialties and licenses

TaxonomyCodeLicense
Sports Medicine (Neuromusculoskeletal Medicine) Physician Primary 204C00000XNone listed

Sports Medicine (Neuromusculoskeletal Medicine) Physician: A Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine physician trained to be responsible for the continuous care in the field of sports medicine encompasses increased knowledge and understanding of osteopathic principles and practice and heightened technical skills of osteopathic manipulative medicine and integrates each of these into the management of the individual engaged in physical exercise (sp…

About NPI 1699834697

Medipractic LLC's National Provider Identifier is 1699834697, issued on Dec 6, 2006. The primary taxonomy on file is Sports Medicine (Neuromusculoskeletal Medicine) Physician (204C00000X), and the practice location is in Loganville, GA. The record was last updated on Dec 21, 2012.