Organization
SISU OF GEORGIA, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ASHLEY MORGAN CARTER (CEO)
(770) 535-8372
Entity
Organization
Contact information
Practice address
2360 MURPHY BLVD, GAINESVILLE, GA 30504-6002
(770) 535-8372
(770) 535-0252
Mailing address
2360 MURPHY BLVD, GAINESVILLE, GA 30504
(770) 535-8372
(770) 535-0252
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
PT003657
GA
225100000X
Physical Therapist
PT006768
GA
225100000X
Physical Therapist
PT007578
GA
225X00000X
Occupational Therapist
OT000068
GA
225X00000X
Occupational Therapist
OT003781
GA
225X00000X
Occupational Therapist
OT003986
GA
225X00000X
Occupational Therapist
OT004268
GA
235Z00000X
Speech-Language Pathologist
SLP003545
GA
235Z00000X
Speech-Language Pathologist
SLP003665
GA
235Z00000X
Speech-Language Pathologist
SLP005527
GA
235Z00000X
Speech-Language Pathologist
Primary
SLP006444
GA
Other
Enumeration date
11/22/2006
Last updated
02/14/2024
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