Organization
SOUTHERN REHAB AND SPORTS MEDICINE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSHUA D MCGINTY DPT, ATC (VICE PRESIDENT, PHYSICAL THERAPIST)
(706) 845-9383
Entity
Organization
Contact information
Practice address
1805 VERNON RD STE A, LAGRANGE, GA 30240-3871
(706) 845-9383
(706) 845-9482
Mailing address
1805 VERNON RD, SUITE A, LAGRANGE, GA 30240-3871
(706) 845-9383
(706) 845-9482
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
8954
GA
332B00000X
Durable Medical Equipment & Medical Supplies
—
GA
Other
Enumeration date
07/21/2009
Last updated
07/13/2021
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