# REHAB ATLANTA, INC.

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

## Provider details

- **NPI number:** 1972635175
- **Authorized official:** DR. WESLEY BURTON MCDANIEL II M.D. (OWNER)
- **Authorized official phone:** (770) 442-0836

## Contact information

- **Practice address:** 11685 ALPHARETTA HWY, SUITE 155, ROSWELL, GA 30076-4913
- **Practice address phone:** (770) 442-0836
- **Practice address fax:** (770) 664-0985
- **Mailing address:** 11685 ALPHARETTA HWY, SUITE 155, ROSWELL, GA 30076-4913
- **Mailing address phone:** (770) 442-0836
- **Mailing address fax:** (770) 664-0985

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225400000X | Rehabilitation Practitioner | 026588 | GA | Yes |

## Other

- **Enumeration date:** 03/12/2007
- **Last updated:** 03/20/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | CC9720 | RAILROAD MEDICARE | GA |