Organization
PHYSICAL REHAB MEDICINE SPECIALISTS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PARCHELLE CONNALLY MD (OWNER)
(770) 674-4888
Entity
Organization
Contact information
Practice address
2121 FOUNTAIN DR, STE D, SNELLVILLE, GA 30078-7023
(770) 674-4888
Mailing address
PO BOX 678037, DALLAS, TX 75267-8037
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
067000
GA
Other
Enumeration date
05/28/2013
Last updated
05/28/2013
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