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800 Peachtree St Ne Ste E2 Atlanta GA 30308-1245 | |
| (404) 523-7709 | |
| (404) 523-1065 |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Physical Therapy |
| Location | 800 Peachtree St Ne, Atlanta, Georgia |
| Authorized Official Name and Position | Kevin Johanneson (VP REVENUE CYCLE) |
| Authorized Official Contact | 4232387217 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
8823 Production Ln Ooltewah TN 37363-6511 Ph: (423) 238-7217 | 800 Peachtree St Ne Ste E2 Atlanta GA 30308-1245 Ph: (404) 523-7709 |
| NPI Number | 1457511289 |
|---|---|
| Provider Enumeration Date | 06/16/2008 |
| Last Update Date | 12/06/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457511289 | NPI | - | NPPES |
| CK9205 | Other | GA | RAILROAD MEDICARE |
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