Michael J Mcgowen, PT | |
3614 Highway 5, Douglasville, GA 30135-2314 | |
(770) 489-9332 | |
Not Available |
Full Name | Michael J Mcgowen |
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Gender | Male |
Speciality | Physical Therapist |
Location | 3614 Highway 5, Douglasville, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1134140700 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | PT8804 (Georgia) | Primary |
Provider Name | A Family Practice And Wellness Center |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1184896573 PECOS PAC ID: 8820167802 Enrollment ID: O20080516000124 |
Mailing Address | Practice Location Address |
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Michael J Mcgowen, PT 3614 Highway 5, Douglasville, GA 30135-2314 Ph: (770) 489-9332 | Michael J Mcgowen, PT 3614 Highway 5, Douglasville, GA 30135-2314 Ph: (770) 489-9332 |
Di Luo, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 8509 Hospital Dr, Douglasville, GA 30134 Phone: 678-431-0628 | |
Sandra E. Harbin, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 6001 Professional Pkwy, Suite 1040, Douglasville, GA 30134 Phone: 770-489-3513 Fax: 678-715-5320 | |
Jessica Mashaun Bivins, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 9390 The Landing Dr, Douglasville, GA 30135 Phone: 770-850-1692 | |
Lindsey Marie Krempa, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2562 Fairburn Rd, Douglasville, GA 30135 Phone: 770-577-0399 | |
Jovanna Archibald, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 6002 Professional Pkwy Ste 140, Douglasville, GA 30134 Phone: 850-512-0046 | |
Matthew Johnson, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2750 Chapel Hill Rd Ste 1200, Douglasville, GA 30135 Phone: 678-981-6290 |