Iris Stanford, DPT | |
812 S Park St, Carrollton, GA 30117-4412 | |
(770) 834-7436 | |
(770) 830-5954 |
Full Name | Iris Stanford |
---|---|
Gender | Female |
Speciality | Physical Therapist |
Location | 812 S Park St, Carrollton, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1447563481 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 009969 (Georgia) | Primary |
Provider Name | Select Rehabilitation Llc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1346368248 PECOS PAC ID: 9032020490 Enrollment ID: O20171207000375 |
Mailing Address | Practice Location Address |
---|---|
Iris Stanford, DPT 120 E Center St, Carrollton, GA 30117-3303 Ph: (770) 832-2484 | Iris Stanford, DPT 812 S Park St, Carrollton, GA 30117-4412 Ph: (770) 834-7436 |
Wilbur Lew Blackman Iii, MPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 812 S Park St, Carrollton, GA 30117 Phone: 770-834-7436 Fax: 770-830-5954 | |
Sarah Worley, MPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 812 S Park St, Carrollton, GA 30117 Phone: 770-834-7436 Fax: 770-830-5954 | |
Mrs. Rebecca Smith, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 812 S Park St, Carrollton, GA 30117 Phone: 770-834-7436 Fax: 770-830-5954 | |
Hannah Alise Cothran, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1004 Bankhead Hwy Ste 5, Carrollton, GA 30117 Phone: 770-834-5609 | |
Mr. Vaughn Williams, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 812 S Park St, Carrollton, GA 30117 Phone: 770-830-9517 Fax: 770-830-5957 | |
George Bo Hamil Jr., PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 812 S Park St, Carrollton, GA 30117 Phone: 770-834-7436 Fax: 770-830-5954 | |
Darcia Farrell, MPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 812 South Park St, Carrollton, GA 30117 Phone: 770-834-7436 Fax: 770-830-5954 |