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Organization
DUE WEST INTEGRATED HEALTH CENTER PHYSICAL MEDICINE, LLC
Active
Organization
DUE WEST INTEGRATED HEALTH CENTER PHYSICAL MEDICINE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN P LANIER M.D. (MEDICAL DIRECTOR)
(770) 429-5555
Entity
Organization
Contact information
Practice address
1600 KENNESAW DUE WEST RD NW, SUITE 501, KENNESAW, GA 30152-4301
(770) 429-5555
Mailing address
1600 KENNESAW DUE WEST RD NW STE 501, KENNESAW, GA 30152-4304
(770) 429-5555
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
28809
GA
Other
Enumeration date
10/25/2011
Last updated
10/25/2011
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