Laura D Gwillim, | |
2704 C N Oak St, Valdosta, GA 31602-1781 | |
(229) 245-0646 | |
(229) 245-8946 |
Full Name | Laura D Gwillim |
---|---|
Gender | Female |
Speciality | Physical Therapy |
Experience | 31 Years |
Location | 2704 C N Oak St, Valdosta, Georgia |
Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1194898288 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | (* (Not Available)) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Care Medical Center Llc | 6406807015 | 21 |
Provider Name | Care Medical Center Llc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1063521250 PECOS PAC ID: 6406807015 Enrollment ID: O20050201000493 |
Mailing Address | Practice Location Address |
---|---|
Laura D Gwillim, 1803 Williams St, Valdosta, GA 31602-2924 Ph: (229) 251-0372 | Laura D Gwillim, 2704 C N Oak St, Valdosta, GA 31602-1781 Ph: (229) 245-0646 |
Mrs. Anna Deloach, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 202 W Park Ave, Valdosta, GA 31602 Phone: 229-253-8500 Fax: 229-253-8522 | |
Revajo S. Broadwater, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 3537 North Crossing Circle, Valdosta, GA 31602 Phone: 229-333-0095 Fax: 229-333-0756 | |
North Valdosta Therapy Services Inc Physical Therapist Medicare: Medicare Enrolled Practice Location: 4611 Tillman Bluff Rd, Valdosta, GA 31602 Phone: 229-219-0700 Fax: 229-219-0702 | |
Dr. John Tanner Allen, PT,DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1110 Clover Hill Rd, Valdosta, GA 31602 Phone: 229-740-3484 | |
Robertus Wolters, RPT Physical Therapist Medicare: May Accept Medicare Assignments Practice Location: 3368 Greystone Way, Valdosta, GA 31605 Phone: 229-242-6670 Fax: 229-242-6671 | |
Steven C Moore, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2704 N Oak St Bldg A2, Valdosta, GA 31602 Phone: 229-253-1009 Fax: 229-253-1039 | |
Valdosta Pediatric Therapy Services Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 200 W Moore St, Valdosta, GA 31602 Phone: 229-253-8500 Fax: 229-253-8522 |