Anthony Blaine Christensen, PT | |
99 E Broad St, Camilla, GA 31730-1807 | |
(229) 336-8255 | |
(229) 336-1932 |
Full Name | Anthony Blaine Christensen |
---|---|
Gender | Male |
Speciality | Physical Therapist |
Location | 99 E Broad St, Camilla, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1457638090 | NPI | - | NPPES |
PT010096 | Other | GA | LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | PT010096 (Georgia) | Primary |
Provider Name | Memorial Hospital Association |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1184785099 PECOS PAC ID: 1951375849 Enrollment ID: O20040825001090 |
Mailing Address | Practice Location Address |
---|---|
Anthony Blaine Christensen, PT 99 E Broad St, Camilla, GA 31730-1807 Ph: (229) 336-8255 | Anthony Blaine Christensen, PT 99 E Broad St, Camilla, GA 31730-1807 Ph: (229) 336-8255 |
Dr. Trevor D Broyles, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 130 E Broad St, Camilla, GA 31730 Phone: 229-336-1115 Fax: 229-336-1151 | |
Mrs. Marilyn Rayburn Shiver, P.T., M.S. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 99 E Broad St, Camilla, GA 31730 Phone: 229-336-1115 Fax: 229-336-1151 | |
Mrs. Rachel S Lauder, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 99 E Broad St, Camilla, GA 31730 Phone: 229-336-8255 Fax: 229-336-1932 | |
Fyzical Therapy And Balance Centers Physical Therapist Medicare: Medicare Enrolled Practice Location: 130 E Broad St, Camilla, GA 31730 Phone: 229-336-1115 Fax: 229-336-1151 | |
Michaelyn Teresa Ray, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 99 E Broad St, Camilla, GA 31730 Phone: 229-336-8255 | |
Mrs. Maria Sheila Chupuico, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 251 Us Hwy 19 N, Camilla, GA 31730 Phone: 229-336-8255 |