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45 Enterprise Path Ste 101 Hiram GA 30141-2692 | |
(770) 439-4045 | |
(770) 439-4085 |
Full Name | |
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Speciality | Clinic/center - Physical Therapy |
Location | 45 Enterprise Path Ste 101, Hiram, Georgia |
Authorized Official Name and Position | Troy D. Bage (PRESIDENT) |
Authorized Official Contact | 4232387217 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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8823 Production Ln Ooltewah TN 37363-6511 Ph: (423) 238-7217 | 45 Enterprise Path Ste 101 Hiram GA 30141-2692 Ph: (770) 439-4045 |
NPI Number | 1093021107 |
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Provider Enumeration Date | 08/26/2010 |
Last Update Date | 08/26/2010 |
Identifier | Type | State | Issuer |
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1093021107 | NPI | - | NPPES |
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