# EAGLES LANDING PAIN & REHAB

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

## Provider details

- **NPI number:** 1811202989
- **Authorized official:** MS. SARA BADIE MANAGER (MANAGER)
- **Authorized official phone:** (770) 455-4600

## Contact information

- **Practice address:** 3286 BUCKEYE RD STE 102, ATLANTA, GA 30341-4228
- **Practice address phone:** (770) 455-4600
- **Practice address fax:** (770) 455-7799
- **Mailing address:** 125 EAGLE SPRING DR, STOCKBRIDGE, GA 30281-6328
- **Mailing address phone:** (678) 379-0943
- **Mailing address fax:** (678) 379-0945

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111NR0400X | Rehabilitation Chiropractor | 006333CHIRO | GA | Yes |

## Other

- **Enumeration date:** 08/13/2010
- **Last updated:** 08/13/2010