| Samantha Lea King, PT | |
|
1013 Main St, Perry, GA 31069-3353 | |
| (478) 783-4460 | |
| Not Available |
| Full Name | Samantha Lea King |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist |
| Location | 1013 Main St, Perry, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770872400 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | PT009853 (Georgia) | Primary |
| Provider Name | Southwest Georgia Rehab Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1902120587 PECOS PAC ID: 6204966740 Enrollment ID: O20100610000420 |
| Mailing Address | Practice Location Address |
|---|---|
| Samantha Lea King, PT 174 Commerce St, Hawkinsville, GA 31036-8431 Ph: (478) 783-4460 | Samantha Lea King, PT 1013 Main St, Perry, GA 31069-3353 Ph: (478) 783-4460 |
Natalie Koontz Harris, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 902 Northside Dr, Perry, GA 31069 Phone: 478-987-1610 Fax: 478-987-1640 | |
Ms. Heather Ann Kellen, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1013 Main St, Perry, GA 31069 Phone: 478-953-4563 | |
Independent Physical Therapy Of Ga, Llc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1365 Sam Nunn Blvd Ste L, Perry, GA 31069 Phone: 478-845-7708 Fax: 478-845-2969 | |
Mrs. Elizabeth Ann Bell, Physical Therapist Medicare: Medicare Enrolled Practice Location: 1306 Macon Rd, Perry, GA 31069 Phone: 478-987-4600 | |
Wendi Martin, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 902 Northside Dr, Perry, GA 31069 Phone: 478-987-1610 Fax: 973-965-4580 | |
Mr. David A Wolk, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1020 Keith Dr, Perry, GA 31069 Phone: 904-540-8301 Fax: 478-987-6918 | |
Mrs. Laura Palma Horne, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1013 Main St, Perry, GA 31069 Phone: 478-953-4563 Fax: 478-953-4564 |