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372 Southerland Ter Ne, Atlanta, GA 30307-2346 | |
(404) 444-7160 | |
Not Available |
Full Name | |
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Type | Facility |
Speciality | Physical Therapist |
Location | 372 Southerland Ter Ne, Atlanta, Georgia |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1306019674 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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171100000X | Acupuncturist | 117 (Georgia) | Secondary |
225100000X | Physical Therapist | 7706 (Georgia) | Primary |
Provider Name | Mary F Cook |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1730100090 PECOS PAC ID: 0749243947 Enrollment ID: I20041110000087 |
Mailing Address | Practice Location Address |
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372 Southerland Ter Ne, Atlanta, GA 30307-2346 Ph: (404) 444-7160 | 372 Southerland Ter Ne, Atlanta, GA 30307-2346 Ph: (404) 444-7160 |