Organization
SOVEREIGN REHABILITATION OF GEORGIA, LLC
Active
Other names
CENTERS FOR ORTHOPEDIC REHAB
Organization subpart
No
Provider details
NPI number
Authorized official
ALAN J GRODIN (PRESIDENT)
(404) 835-3343
Entity
Organization
Contact information
Practice address
3541 HIGHWAY 81, LOGANVILLE, GA 30052-4336
(678) 495-2990
(678) 495-2995
Mailing address
5555 PEACHTREE DUNWOODY RD NE, SUITE 201, ATLANTA, GA 30342-1703
(404) 835-3343
(404) 207-1391
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
03/25/2008
Last updated
07/19/2008
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