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

St Mary Spine and Sport Injuries Rehab

Organization Internal Medicine Physician · NPI 1992479596

St Mary Spine and Sport Injuries Rehab is an Internal Medicine Physician in Bloomingdale, Georgia. Works from 2 locations. Registered with an NPI since 2021.

In the registry since
2021
Specialties on file
2

Practice location Address checks out

502 E US Highway 80 Ste D
Bloomingdale, GA 31302-9356
Phone: (912) 999-7275
Fax: (912) 988-3748
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 52 Traders Way, Pooler, GA 31322-4158 — (912) 999-7275

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X
Physical Therapist Taxonomy 225100000X

Record details

NPI number1992479596
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Noha Soliman — Provider/Owner · (912) 508-8828
NPI enumeratedAugust 6, 2021
Last updated in NPPESMay 30, 2024
Certification dateMay 30, 2024
Mailing address502 E Us Highway 80 Ste D, Bloomingdale, GA 31302-9356

Other providers in Bloomingdale