Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Ortho Sport and Spine Physicians Conyers

Organization Physical Medicine & Rehabilitation Physician · NPI 1578152351

Ortho Sport and Spine Physicians Conyers is a Physical Medicine & Rehabilitation Physician in Conyers, Georgia. Registered with an NPI since 2021.

In the registry since
2021

Practice location Address checks out

1292 Wellbrook Cir NE
Conyers, GA 30012-8031
Phone: (678) 831-7669
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Medicine & Rehabilitation Physician (primary) Taxonomy 208100000X

Record details

NPI number1578152351
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ra'Keshia Brogdon — Credentialing Specialist · (404) 941-1233
NPI enumeratedJanuary 15, 2021
Last updated in NPPESJanuary 3, 2022
Certification dateJanuary 3, 2022
Mailing address5788 Roswell Rd, Atlanta, GA 30328-4904

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