Lacy Grand, | |
Benchmark Physical Therapy, 1820 Highway 20 Ste 160, Conyers, GA 30013-2076 | |
(770) 929-8872 | |
Not Available |
Full Name | Lacy Grand |
---|---|
Gender | Female |
Speciality | Physical Therapy |
Experience | 3 Years |
Location | Benchmark Physical Therapy, Conyers, Georgia |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1689342594 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | PT015489 (Georgia) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Independent Physical Therapy Of Georgia Llc | 2961312244 | 447 |
Provider Name | Independent Physical Therapy Of Georgia Llc |
---|---|
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 |
---|---|
Lacy Grand, 6397 Lee Hwy, Chattanooga, TN 37421-2564 Ph: () - | Lacy Grand, Benchmark Physical Therapy, 1820 Highway 20 Ste 160, Conyers, GA 30013-2076 Ph: (770) 929-8872 |
Stevi Denise Wheeler, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1820 Highway 20 Se Ste 146, Conyers, GA 30013 Phone: 770-929-8872 Fax: 770-929-8890 | |
Kenyata B Holton, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1157b West Ave Sw, Conyers, GA 30012 Phone: 770-922-2420 | |
Brian Jung Hyun Shin, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1820 Highway 20 Se, Ste 146, Conyers, GA 30013 Phone: 770-929-8872 Fax: 770-929-8890 | |
Dr. Joshua Michael Brown, DPT, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 875 Flat Shoals Rd Se, #160, Conyers, GA 30094 Phone: 770-785-7669 | |
Mr. Brian N Conton, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 923 Commercial St Ne, Conyers, GA 30012 Phone: 404-427-7413 Fax: 770-760-8870 | |
Kareem David Pierre, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 2395 Wall St Se Ste 176, Conyers, GA 30013 Phone: 770-679-1553 | |
Gary E Woodham, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1603 Highway 20 Ne, Suite 201, Conyers, GA 30012 Phone: 770-929-8411 |