David Lee Faircloth, DPT | |
1306 Macon Rd, Perry, GA 31069-2652 | |
(478) 987-4600 | |
Not Available |
Full Name | David Lee Faircloth |
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Gender | Male |
Speciality | Physical Therapist |
Location | 1306 Macon Rd, Perry, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1477235026 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | PT016728 (Georgia) | Primary |
Provider Name | Summit Physical Therapy |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1770014409 PECOS PAC ID: 2062799653 Enrollment ID: O20170828003643 |
Mailing Address | Practice Location Address |
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David Lee Faircloth, DPT 1306 Macon Rd, Perry, GA 31069-2652 Ph: (478) 987-4600 | David Lee Faircloth, DPT 1306 Macon Rd, Perry, GA 31069-2652 Ph: (478) 987-4600 |
Natalie Koontz Harris, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 902 Northside Dr, Perry, GA 31069 Phone: 478-987-1610 Fax: 478-987-1640 | |
Ms. Heather Ann Kellen, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1013 Main St, Perry, GA 31069 Phone: 478-953-4563 | |
Independent Physical Therapy Of Ga, Llc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1365 Sam Nunn Blvd Ste L, Perry, GA 31069 Phone: 478-845-7708 Fax: 478-845-2969 | |
Mrs. Elizabeth Ann Bell, Physical Therapist Medicare: Medicare Enrolled Practice Location: 1306 Macon Rd, Perry, GA 31069 Phone: 478-987-4600 | |
Wendi Martin, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 902 Northside Dr, Perry, GA 31069 Phone: 478-987-1610 Fax: 973-965-4580 | |
Mr. David A Wolk, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1020 Keith Dr, Perry, GA 31069 Phone: 904-540-8301 Fax: 478-987-6918 | |
Mrs. Laura Palma Horne, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1013 Main St, Perry, GA 31069 Phone: 478-953-4563 Fax: 478-953-4564 |