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Organization
COLONIAL REHABILITATION GROUP, LLC
Active
Organization
COLONIAL REHABILITATION GROUP, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROGER PAUL MURRAY (CHIEF OPERATING OFFICER)
(770) 874-5400
Entity
Organization
Contact information
Practice address
1401 JOHNSTON WILLIS DR, NORTH CHESTERFIELD, VA 23235-4730
(804) 330-2000
Mailing address
5665 NEW NORTHSIDE DR, SUITE 320, ATLANTA, GA 30328-5831
(770) 874-5400
(770) 874-5483
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
NULL
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
Other
Enumeration date
10/01/2014
Last updated
10/01/2014
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