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Organization
GEORGIA REHAB CLINIC LLC
Active
Organization
GEORGIA REHAB CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EMMA CULL (MANAGMENT)
(678) 469-5011
Entity
Organization
Contact information
Practice address
1800 PEACHTREE ST NW STE 450, ATLANTA, GA 30309-2520
(470) 481-6200
(404) 745-8184
Mailing address
1800 PEACHTREE ST NW STE 450, ATLANTA, GA 30309-2520
(470) 481-6200
(404) 745-8184
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
071689
GA
363A00000X
Physician Assistant
—
NULL
363A00000X
Physician Assistant
—
—
Other
Enumeration date
02/12/2018
Last updated
02/12/2018
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