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Organization
REHAB OF STONE MOUNTAIN
Active
Organization
REHAB OF STONE MOUNTAIN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DANIEL LYNN MIDDLETON (BILLING MANAGER)
(770) 850-0857
Entity
Organization
Contact information
Practice address
6254 F MEMORIAL DRIVE, STONE MOUNTAIN, GA 30083
(770) 469-1600
(770) 469-2238
Mailing address
PO BOX 671821, MARIETTA, GA 30006-1821
(770) 469-1600
(770) 469-2238
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT007889
GA
Other
Enumeration date
04/06/2007
Last updated
08/22/2020
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