Healthcare Provider Details

I. General information

NPI: 1801710033
Provider Name (Legal Business Name): RAMON MUNOZ JR. DPT
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/10/2026
Last Update Date: 08/10/2026
Certification Date: 08/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4754 MARTIN RD STE 200
FLOWERY BRANCH GA
30542-3507
US

IV. Provider business mailing address

4754 MARTIN RD STE 200
FLOWERY BRANCH GA
30542-3507
US

V. Phone/Fax

Practice location:
  • Phone: 770-967-4377
  • Fax: 770-967-8077
Mailing address:
  • Phone: 770-967-4377
  • Fax: 770-967-8077

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPT018498
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: