Georgia Tech Sports Medicine And Rehab

NPI 1417178633 - Physical Therapist - 225100000X

NPI Details
NPI 1417178633
Enumeration Date 05/02/2007
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name CHARLIE CHARLIE
Position PHYSICAL THERAPIST CLINIC DIRECTOR
Phone (404) 385-4115
Fax (404) 894-0695
Practice Location
150 BOBBY DODD WAY
ATLANTA GA, 30332-0001, US
Phone (404) 385-4115
Fax (404) 894-0695
Business Location
150 BOBBY DODD WAY
ATLANTA GA, 30332-0001, US
Phone (404) 385-4115
Fax (404) 894-0695
Toxanomy
Taxonomy Code 225100000X
License State Georgia
License Number 6601
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According to our database, Georgia Tech Sports Medicine And Rehab NPI is 1417178633, taxonomy code is 225100000X and license number is 6601, license state is located at Georgia. Georgia Tech Sports Medicine And Rehab physically located at 150 Bobby Dodd Way, Atlanta GA, 30332-0001. NPI Number 1033115704 has the healthcare provider type.

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1417178633 NPI number is provided on an as is basis without warranty of any kind. 1417178633 is maintained by the National Plan & Provider Enumeration System. The contents of Georgia Tech Sports Medicine And Rehab are for informational purposes only.