| Therapeutic Edge | |
|
431 W Ponce De Leon Ave Suite 7 Decatur GA 30030-2458 | |
| (404) 964-1072 | |
| Not Available |
| Full Name | Therapeutic Edge |
|---|---|
| Speciality | Clinic/center |
| Location | 431 W Ponce De Leon Ave, Decatur, Georgia |
| Authorized Official Name and Position | Sandi Jacquelyn Stephens (PRESIDENT) |
| Authorized Official Contact | 4049641072 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Therapeutic Edge 250 Norwood Ave Ne Atlanta GA 30317-1248 Ph: (404) 964-1072 | Therapeutic Edge 431 W Ponce De Leon Ave Suite 7 Decatur GA 30030-2458 Ph: (404) 964-1072 |
| NPI Number | 1366612491 |
|---|---|
| Provider Enumeration Date | 03/05/2008 |
| Last Update Date | 03/05/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366612491 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 004092 (Georgia) | Primary |
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