| |
1914 Central Ave, Suite A, Augusta, GA 30904-4126 | |
(706) 733-2211 | |
(706) 733-2271 |
Full Name | |
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Type | Facility |
Speciality | Clinic/center - Rehabilitation |
Location | 1914 Central Ave, Augusta, Georgia |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1629221213 | NPI | - | NPPES |
1376788406 | Other | GA | THIRD PARTY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | (* (Not Available)) | Secondary |
261QR0400X | Clinic/center - Rehabilitation | 1346 (Georgia) | Primary |
Mailing Address | Practice Location Address |
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1914 Central Ave, Suite A, Augusta, GA 30904-4126 Ph: (706) 733-2211 | 1914 Central Ave, Suite A, Augusta, GA 30904-4126 Ph: (706) 733-2211 |