Healthcare Provider Details

I. General information

NPI: 1144130311
Provider Name (Legal Business Name): EMILY BELINSKI
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/10/2026
Last Update Date: 09/10/2026
Certification Date: 08/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2739 HARPER WOODS DR
MARIETTA GA
30062-8602
US

IV. Provider business mailing address

2739 HARPER WOODS DR
MARIETTA GA
30062-8602
US

V. Phone/Fax

Practice location:
  • Phone: 919-710-1050
  • Fax:
Mailing address:
  • Phone: 919-710-1050
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: