# WEST SIDE MEDICAL AND PHYSICAL THERAPY

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

## Provider details

- **NPI number:** 1508053364
- **Authorized official:** CARL T SHENKMAN (MEDICAL DIRECTOR)
- **Authorized official phone:** (866) 592-9432

## Contact information

- **Practice address:** 4780 ASHFORD DUNWOODY RD, SUITE A-617, ATLANTA, GA 30338-5564
- **Practice address phone:** (866) 592-9432
- **Mailing address:** 4780 ASHFORD DUNWOODY RD, SUITE A-617, ATLANTA, GA 30338-5564
- **Mailing address phone:** (866) 592-9432

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | 036000 | GA | Yes |

## Other

- **Enumeration date:** 09/26/2007
- **Last updated:** 09/26/2007