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Organization
TRI-COUNTY REHABILITATION & PAIN, LLC
Active
Organization
TRI-COUNTY REHABILITATION & PAIN, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRIAN KALLA MD (AUHORIZED OFFICIAL)
(706) 858-6056
Entity
Organization
Contact information
Practice address
102 GROSS CRESCENT CIR, SUITE 203, FORT OGLETHORPE, GA 30742-3600
(706) 858-6056
(706) 858-2412
Mailing address
102 GROSS CRESCENT CIR, SUITE 203, FORT OGLETHORPE, GA 30742-3600
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
NULL
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
Other
Enumeration date
05/27/2006
Last updated
10/11/2007
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