# NEWCORE PHYSICAL THERAPY, LLC

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

## Provider details

- **NPI number:** 1417469065
- **Authorized official:** MR. STUART M FIFE PT (CO-FOUNDER/CEO)
- **Authorized official phone:** (912) 239-6140

## Contact information

- **Practice address:** 5111 ABERCORN ST, SAVANNAH, GA 31405-5214
- **Practice address phone:** (912) 239-6140
- **Practice address fax:** (912) 335-3539
- **Mailing address:** PO BOX 15224, SAVANNAH, GA 31416-1924
- **Mailing address phone:** (912) 227-6962
- **Mailing address fax:** (912) 330-1070

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | NULL | Yes |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | — | Yes |
| 2081S0010X | Sports Medicine (Physical Medicine & Rehabilitation) Physician | — | NULL | — |
| 2081S0010X | Sports Medicine (Physical Medicine & Rehabilitation) Physician | — | — | — |

## Other

- **Enumeration date:** 11/03/2017
- **Last updated:** 11/03/2017