Meghan P Odom, PT | |
2041 Mesa Valley Way, Suite 100, Austell, GA 30106-6828 | |
(678) 309-8159 | |
(678) 309-8158 |
Full Name | Meghan P Odom |
---|---|
Gender | Female |
Speciality | Physical Therapist |
Location | 2041 Mesa Valley Way, Austell, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1619069218 | NPI | - | NPPES |
730847132A | Medicaid | GA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | PT007810 (Georgia) | Primary |
Provider Name | Resurgens, Llc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1386697928 PECOS PAC ID: 1153224142 Enrollment ID: O20040128000595 |
Provider Name | Emory Physical Therapy, Llc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1922018423 PECOS PAC ID: 1153382676 Enrollment ID: O20041019000776 |
Mailing Address | Practice Location Address |
---|---|
Meghan P Odom, PT 2041 Mesa Valley Way, Suite 100, Austell, GA 30106-6828 Ph: (678) 309-8159 | Meghan P Odom, PT 2041 Mesa Valley Way, Suite 100, Austell, GA 30106-6828 Ph: (678) 309-8159 |
Neely Tolbert Sullivan, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1025 E West Connector # 4, Suite 406, Austell, GA 30106 Phone: 770-384-1001 Fax: 770-384-0333 | |
Dr. Emily Victoria Russell, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3999 Austell Rd Ste 701, Austell, GA 30106 Phone: 770-739-0090 | |
Agnes Kim, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1025 E West Connector Ste 406, Austell, GA 30106 Phone: 770-384-1001 Fax: 770-384-0333 | |
Kathryn T Abebe, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1025 E West Connector Ste 406, Austell, GA 30106 Phone: 770-740-8592 Fax: 770-752-9478 | |
Kristi S Dean, THERAPY DIR. I Physical Therapist Medicare: Medicare Enrolled Practice Location: 3999 Austell Rd, Austell, GA 30106 Phone: 770-739-0090 | |
Mcpars Physical Therapy And Rehab Associates Pc Physical Therapist Medicare: Medicare Enrolled Practice Location: 1810 Mulkey Rd Ste 101, Austell, GA 30106 Phone: 770-443-4483 Fax: 770-443-4410 | |
Cyanna Broughton, Physical Therapist Medicare: Medicare Enrolled Practice Location: 1025 E West Connector Ste 406, Austell, GA 30106 Phone: 770-384-1001 |