Flint River Physical Therapy

NPI 1164491015 - Durable Medical Equipment & Medical Supplies - 332B00000X

NPI Details
NPI 1164491015
Enumeration Date 03/14/2006
Last Updated 08/12/2014
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name MICHAEL SHOCKLEY MICHAEL
Position PRESIDENT
Phone (229) 336-1115
Fax (229) 336-1151
Practice Location
130 E BROAD ST
CAMILLA GA, 31730-1809, US
Phone (229) 336-1115
Fax (229) 336-1151
Business Location
130 E BROAD ST
CAMILLA GA, 31730-1809, US
Phone (229) 336-1115
Fax (229) 336-1151
Toxanomy
Taxonomy Code 332B00000X
License State
License Number
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According to our database, Flint River Physical Therapy NPI is 1164491015, taxonomy code is 332B00000X Flint River Physical Therapy physically located at 130 E Broad St, Camilla GA, 31730-1809. NPI Number 1033115704 has the healthcare provider type.

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1164491015 NPI number is provided on an as is basis without warranty of any kind. 1164491015 is maintained by the National Plan & Provider Enumeration System. The contents of Flint River Physical Therapy are for informational purposes only.