Luthersville Spinal Rehab | |
191 S Main St Luthersville GA 30251-1809 | |
(404) 991-9895 | |
Not Available |
Full Name | Luthersville Spinal Rehab |
---|---|
Speciality | Internal Medicine |
Location | 191 S Main St, Luthersville, Georgia |
Authorized Official Name and Position | Al Kelly (DIRECTOR) |
Authorized Official Contact | 4049919895 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Luthersville Spinal Rehab 191 S Main St Luthersville GA 30251-1809 Ph: () - | Luthersville Spinal Rehab 191 S Main St Luthersville GA 30251-1809 Ph: (404) 991-9895 |
NPI Number | 1134611825 |
---|---|
Provider Enumeration Date | 05/30/2018 |
Last Update Date | 05/30/2018 |
Identifier | Type | State | Issuer |
---|---|---|---|
1134611825 | NPI | - | NPPES |
032264 | Other | GA | MEDICAL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
261QR0400X | Clinic/center - Rehabilitation | (* (Not Available)) | Secondary |