Peach State Providers Group Inc | |
7146 Southlake Parkway, Morrow, GA 30260 | |
(770) 960-9979 | |
(770) 960-9662 |
Full Name | Peach State Providers Group Inc |
---|---|
Type | Facility |
Speciality | Physical Therapist |
Location | 7146 Southlake Parkway, Morrow, Georgia |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1629111802 | NPI | - | NPPES |
00881218A | Medicaid | GA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 1741 (Georgia) | Primary |
Mailing Address | Practice Location Address |
---|---|
Peach State Providers Group Inc 146 Hawn Road, Fayetteville, GA 30215 Ph: (770) 460-1494 | Peach State Providers Group Inc 7146 Southlake Parkway, Morrow, GA 30260 Ph: (770) 960-9979 |
Dr. Sarah Mcnamee, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2201 Mount Zion Pkwy, Morrow, GA 30260 Phone: 844-543-8437 | |
Bradley Mannone, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1368 Southlake Professional Pl, Morrow, GA 30260 Phone: 615-778-4066 | |
Amadi Hall, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1590 Adamson Pkwy Ste 130, Morrow, GA 30260 Phone: 770-960-9575 | |
Ilana Dorsey, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2201 Mount Zion Pkwy, Morrow, GA 30260 Phone: 847-722-5778 | |
Kendall Huff, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 6319 Jonesboro Rd # A, Morrow, GA 30260 Phone: 770-960-9575 | |
Mark N. Mitchell, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 6635 Lake Dr, Morrow, GA 30260 Phone: 678-422-4300 Fax: 678-422-4299 |