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General NPI Number Information
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NPI Number | 1235095696
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Entity Type | Organization
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Legal Business Name | RADIANT AXIS VENTURES LLC
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Dates
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Enumeration Date | 12/30/2025
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Last Update Date | 12/30/2025
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Provider Practice Location Address
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Address Line | 5456 BETHELVIEW RD STE 105
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City | CUMMING
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State | GA
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Zip | 30040-8612
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Country | US
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Telephone | 470-835-6433
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Fax | 470-835-6434
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Provider Business Mailing Address
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Address Line | 5456 BETHELVIEW RD STE 105
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City | CUMMING
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State | GA
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Zip | 30040-8612
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Country | US
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Telephone | 470-835-6433
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Fax | 470-835-6434
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Authorized Official
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Title or Position | OWNER
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Name | JOSHUA BACKING
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Credential |
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Telephone | 470-835-6433
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number |
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License Number State |
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