# REHABILITATION PHYSICIAN SPECIALISTS OF GEORGIA, PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1295222636
- **Authorized official:** DR. TRISTA J MARSHALL MD (PHYSICIAN/OWNER)
- **Authorized official phone:** (478) 361-2822

## Contact information

- **Practice address:** 3351 NORTHSIDE DR, MACON, GA 31210-2587
- **Practice address phone:** (478) 361-2822
- **Mailing address:** 3022 CASTLEWOODS DR, MACON, GA 31204-1474

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | 068927 | GA | Yes |

## Other

- **Enumeration date:** 04/20/2018
- **Last updated:** 04/20/2018