Organization
DISCOVER HEALTH & WELLNESS SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRYAN M RUSSELL D.P.T. (OWNER/PHYSICAL THERAPIST)
(404) 474-3211
Entity
Organization
Contact information
Practice address
644 WELLS ST SW UNIT 5, ATLANTA, GA 30310-2066
(404) 474-3211
(678) 528-5023
Mailing address
644 WELLS ST SW UNIT 5, ATLANTA, GA 30310-2066
(404) 474-3211
(678) 528-5023
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
PT8561
GA
332B00000X
Durable Medical Equipment & Medical Supplies
PT8561
GA
Other
Enumeration date
01/04/2011
Last updated
01/04/2011
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