Breann London, | |
916 Loganville Hwy Ste 1130, Bethlehem, GA 30620-2153 | |
(770) 867-7463 | |
Not Available |
Full Name | Breann London |
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Gender | Female |
Speciality | Physical Therapist |
Location | 916 Loganville Hwy Ste 1130, Bethlehem, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1083397988 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | (* (Not Available)) | Primary |
Provider Name | Independent Physical Therapy Of Georgia Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1780636068 PECOS PAC ID: 2961312244 Enrollment ID: O20040303000396 |
Mailing Address | Practice Location Address |
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Breann London, 1200 Corporate Dr Ste 400, Hoover, AL 35242-5424 Ph: () - | Breann London, 916 Loganville Hwy Ste 1130, Bethlehem, GA 30620-2153 Ph: (770) 867-7463 |
Jessica Prince, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 916 Loganville Hwy Ste 1130, Bethlehem, GA 30620 Phone: 770-867-7463 Fax: 770-307-0383 | |
David Lewis Clay, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 916 Loganville Hwy, Ste 1130, Bethlehem, GA 30620 Phone: 404-671-9525 Fax: 404-671-9526 | |
Aaron Craig Weeks, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 916 Loganville Hwy, Ste 1130, Bethlehem, GA 30620 Phone: 404-671-9525 Fax: 404-671-9526 | |
Kristofer Paul Chamblee, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 916 Loganville Hwy, Ste 1130, Bethlehem, GA 30620 Phone: 404-671-9525 Fax: 404-671-9526 | |
Amy Elizabeth Duffy, PT, MS Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 916 Loganville Hwy Ste 1130, Bethlehem, GA 30620 Phone: 770-867-7463 Fax: 770-307-0383 | |
Courtney Stone Fuller, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 916 Loganville Hwy, Ste 1130, Bethlehem, GA 30620 Phone: 404-671-9525 Fax: 404-671-9526 |