| |
4215 Jimmy Lee Smith Pkwy Ste 17 Hiram GA 30141-2640 | |
(770) 439-4045 | |
(770) 439-4085 |
Full Name | |
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Speciality | Clinic/center - Physical Therapy |
Location | 4215 Jimmy Lee Smith Pkwy Ste 17, Hiram, Georgia |
Authorized Official Name and Position | Thomas Bryan Barganier (CFO) |
Authorized Official Contact | 2055367602 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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6397 Lee Hwy Ste 300 Chattanooga TN 37421-2564 Ph: (423) 238-7217 | 4215 Jimmy Lee Smith Pkwy Ste 17 Hiram GA 30141-2640 Ph: (770) 439-4045 |
NPI Number | 1881646925 |
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Provider Enumeration Date | 05/17/2006 |
Last Update Date | 03/27/2023 |
Identifier | Type | State | Issuer |
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1881646925 | NPI | - | NPPES |
CK9205 | Other | GA | RAILROAD MEDICARE PROVIDER # |
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