# PHYSICAL MEDICINE CENTER

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

## Provider details

- **NPI number:** 1588767750
- **Authorized official:** KENNETH S WEINER (PRESIDENT)
- **Authorized official phone:** (770) 973-8800

## Contact information

- **Practice address:** 1642 ROSWELL RD, MARIETTA, GA 30062-3621
- **Practice address phone:** (770) 973-8800
- **Practice address fax:** (770) 971-6962
- **Mailing address:** 1642 ROSWELL RD, MARIETTA, GA 30062-3621
- **Mailing address phone:** (770) 973-8800
- **Mailing address fax:** (770) 971-6962

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 174400000X | Specialist | — | NULL | — |
| 174400000X | Specialist | — | — | — |
| 208100000X | Physical Medicine & Rehabilitation Physician | G00161 | GA | Yes |

## Other

- **Enumeration date:** 09/06/2006
- **Last updated:** 09/11/2025