Organization
ATLANTA PHYSICAL THERAPY CLINIC, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. BAMBI J WOMACK PT (CEO)
(404) 252-7513
Entity
Organization
Contact information
Practice address
980 JOHNSON FERRY RD NE, SUITE 1040, ATLANTA, GA 30342-1626
(404) 252-7513
(706) 947-0109
Mailing address
709 OLD BURTON RD, CLARKESVILLE, GA 30523-1142
(706) 947-1058
(706) 947-0109
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
1093
GA
2251H1200X
Hand Physical Therapist
Primary
1093
GA
2251N0400X
Neurology Physical Therapist
1093
GA
2251S0007X
Sports Physical Therapist
1093
GA
2251X0800X
Orthopedic Physical Therapist
1093
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
52885735
BCBS PROVDER #
GA
Enumeration date
09/28/2006
Last updated
09/11/2025
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