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Organization

ANYTHING'S POSSIBLE INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. MARETTA GEORGETTA MINCEY MOT, MPH (OCCUPATIONAL THERAPIST/OWNER)
77089666518
Entity
Organization

Contact information

Practice address
8601 BALDWIN PKWY STE 200, DOUGLASVILLE, GA 30134-5626
(770) 577-0399
Mailing address
PO BOX 385, POWDER SPRINGS, GA 30127-0385
(770) 896-6518
(770) 439-0821

Taxonomy

Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
OT003165
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000889743B
GA
01
329809
WELLCARE
GA
Enumeration date
10/10/2011
Last updated
10/10/2011
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