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3455 Peachtree Pkwy Ste 206 Suwanee GA 30024-9104 | |
| (678) 473-1081 | |
| (678) 473-1082 |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Physical Therapy |
| Location | 3455 Peachtree Pkwy Ste 206, Suwanee, Georgia |
| Authorized Official Name and Position | Kiley Russell (MANAGER) |
| 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 | 3455 Peachtree Pkwy Ste 206 Suwanee GA 30024-9104 Ph: (678) 473-1081 |
| NPI Number | 1366883746 |
|---|---|
| Provider Enumeration Date | 07/12/2013 |
| Last Update Date | 07/12/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366883746 | NPI | - | NPPES |
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