Organization
ATLANTA SOUTH PHYSICAL THERAPY, INC
Active
Organization
ATLANTA SOUTH PHYSICAL THERAPY, INC
Active
Other names
Rehab South
Organization subpart
No
Provider details
NPI number
Authorized official
TROY BAGE (PRESIDENT)
(423) 238-7217
Entity
Organization
Contact information
Practice address
1233 EAGLES LANDING PKWY, SUITE A, STOCKBRIDGE, GA 30281-6399
(678) 289-0525
(678) 289-0529
Mailing address
8823 PRODUCTION LN, OOLTEWAH, TN 37363-6511
(423) 238-7217
(423) 238-3473
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DD7784
RAILROAD MEDICARE GROUP PROVIDER #
GA
Enumeration date
09/20/2006
Last updated
04/29/2008
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