# FORSYTH COUNTY WELLNESS CENTER AND REHAB

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

## Provider details

- **NPI number:** 1366794968
- **Authorized official:** DR. KEVIN SMITH (DIRECTOR)
- **Authorized official phone:** (770) 781-9050

## Contact information

- **Practice address:** 564 LAKELAND PLAZA, CUMMING, GA 30040
- **Practice address phone:** (770) 781-9050
- **Practice address fax:** (770) 781-4567
- **Mailing address:** 564 LAKELAND PLZ, CUMMING, GA 30040-2783
- **Mailing address phone:** (770) 781-9050
- **Mailing address fax:** (770) 781-4567

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | 41961 | GA | Yes |

## Other

- **Enumeration date:** 10/05/2012
- **Last updated:** 10/05/2012