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Organization
PHYSICAL MEDICINE CENTER
Active
Organization
PHYSICAL MEDICINE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENNETH S WEINER (PRESIDENT)
(770) 973-8800
Entity
Organization
Contact information
Practice address
1642 ROSWELL RD, MARIETTA, GA 30062-3621
(770) 973-8800
(770) 971-6962
Mailing address
1642 ROSWELL RD, MARIETTA, GA 30062-3621
(770) 973-8800
(770) 971-6962
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
—
NULL
174400000X
Specialist
—
—
208100000X
Physical Medicine & Rehabilitation Physician
Primary
G00161
GA
Other
Enumeration date
09/06/2006
Last updated
09/11/2025
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