|
| |
|
125 Medical Blvd, Stockbridge, GA 30281-5083 | |
| (770) 474-9514 | |
| (770) 389-5602 |
| Full Name | |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 125 Medical Blvd, Stockbridge, Georgia |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902170038 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | PT001322 (Georgia) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
125 Medical Blvd, Stockbridge, GA 30281-5083 Ph: (770) 474-9514 | 125 Medical Blvd, Stockbridge, GA 30281-5083 Ph: (770) 474-9514 |
Clarissa Michel, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1060 Eagles Landing Pkwy Ste 130, Stockbridge, GA 30281 Phone: 470-369-5770 Fax: 470-369-5771 | |
Tyleka Moore, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 199 Medical Blvd, Stockbridge, GA 30281 Phone: 470-781-9440 | |
Mr. Thomas Allen Pace, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 909 Eagles Landing Pkwy Ste 430, Stockbridge, GA 30281 Phone: 770-898-9993 Fax: 770-898-9983 | |
Performance Physical Therapy, Pc Physical Therapist Medicare: Medicare Enrolled Practice Location: 909 Eagles Landing Pkwy Ste 430, Stockbridge, GA 30281 Phone: 770-506-6993 Fax: 770-506-6994 | |
Carrie Ferguson, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 135 N Park Pl, Suite 250, Stockbridge, GA 30281 Phone: 678-289-4418 | |
David Sahid Gunn, P.T. Physical Therapist Medicare: Medicare Enrolled Practice Location: 240 Medical Blvd, Stockbridge, GA 30281 Phone: 678-595-9207 |