NPI age
19 years
Enumerated 2006-10-27
Across 16 active physical therapist providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 01 (GA) | 202G707915 | MEDICARE GROUP NUMBER FOR CDC ON COMER |
| 05 (GA) | 003104321A |
Solo or small practice. No other active providers share this practice address in NPPES. This provider is listed as a sole proprietor.
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