Charles Robert West Iii, PT | |
3007 Panola Rd, Ste C, Lithonia, GA 30038-2491 | |
(770) 987-1122 | |
(770) 987-1149 |
Full Name | Charles Robert West Iii |
---|---|
Gender | Male |
Speciality | Physical Therapy |
Experience | 10 Years |
Location | 3007 Panola Rd, Lithonia, Georgia |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1427457852 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | PT011624 (Georgia) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Decatur Hand And Physical Therapy Specialists Limited Partnership | 3971529256 | 13 |
Provider Name | Decatur Hand And Physical Therapy Specialists Limited Partnership |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1174538607 PECOS PAC ID: 3971529256 Enrollment ID: O20051017000102 |
Mailing Address | Practice Location Address |
---|---|
Charles Robert West Iii, PT 8823 Production Ln, Ooltewah, TN 37363-6511 Ph: (423) 238-8907 | Charles Robert West Iii, PT 3007 Panola Rd, Ste C, Lithonia, GA 30038-2491 Ph: (770) 987-1122 |
Stephanie Marie Ravalese, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 3007 Panola Rd Ste C, Lithonia, GA 30038 Phone: 770-987-1122 Fax: 770-987-1149 | |
Jordan Alliah Davis, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 3007 Panola Rd Ste C, Lithonia, GA 30038 Phone: 770-987-1122 Fax: 770-987-1149 | |
Michelle Alade, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 3007 Panola Rd Ste C, Lithonia, GA 30038 Phone: 770-987-1122 | |
Ami Kirollos, DPT Physical Therapist Medicare: May Accept Medicare Assignments Practice Location: 3007 Panola Rd Ste C, Lithonia, GA 30038 Phone: 770-987-1122 | |
Shelby Kay Vandeberghe, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 3007 Panola Rd Ste C, Lithonia, GA 30038 Phone: 770-987-1122 Fax: 770-987-1149 | |
Khianna Anthony, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 3007 Panola Rd Ste C, Lithonia, GA 30038 Phone: 770-987-1122 | |
Corrine Celeste Bolles, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 6000 Hillandale Dr Ste 145, Lithonia, GA 30058 Phone: 678-418-8072 Fax: 678-418-8072 |