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Organization

SOVEREIGN REHABILITATION OF CUMMING, LLC

Active
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Organization

SOVEREIGN REHABILITATION OF CUMMING, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. SANDRA MORAN SMITH PT (MANAGER)
(770) 781-8851
Entity
Organization

Contact information

Practice address
5610 BETHELVIEW RD, SUITE 400, CUMMING, GA 30040-7522
(770) 781-8851
(770) 781-8227
Mailing address
5610 BETHELVIEW RD, SUITE 400, CUMMING, GA 30040-7522
(770) 781-8851
(770) 781-8227

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
004133
GA

Other

Enumeration date
07/11/2006
Last updated
05/22/2008
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