NPI age
19 years
Enumerated 2006-12-06
● Active Type 2 · Organization
Medipractic Llc
Medipractic Llc is 1 of 19 neuromusculoskeletal medicine, sports medicine organizations in Georgia.
Primary specialty
Neuromusculoskeletal Medicine, Sports Medicine
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Willis
Sec
Last NPPES update
2012-12-21
Source: monthly bulk 2026-05
How this organization compares
Across 19 active neuromusculoskeletal medicine, sports medicine providers in Georgia.
NPI age
19 years
≈ at median (19 yr)
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2006 → 2026
2006-12Enumerated in NPPES
2006
2026
Where they practice
Primary practice location
3955 Harrison Rd, Ste. 400
Loganville, GA 300528501
Mailing address
3955 Harrison Rd, Ste. 400
Loganville, GA 300528501
Authorized official
William E Willis, DC CDE1 DAAPM
Sec
📞 7704960326
Specialties
-
Neuromusculoskeletal Medicine, Sports Medicine PrimaryA 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...
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
-
Medipractic Pain Management
Practice context
Single-site organization. Only one practice location on file.
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