Organization
HHSRC NEUROMUSCULAR
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN MEDDLING (OWNER/ NEUROMUSCULAR THERAPIST)
(678) 778-2109
Entity
Organization
Contact information
Practice address
5474 OAKLEY INDUSTRIAL BLVD, APT. 1032, FAIRBURN, GA 30213-4455
(678) 778-2109
(770) 774-4232
Mailing address
5474 OAKLEY INDUSTRIAL BLVD, APT 1032, FAIRBURN, GA 30213-4455
(678) 778-2109
(770) 774-4232
Taxonomy
Speciality
Code
Description
License number
State
320700000X
Physical Disabilities Residential Treatment Facility
Primary
MT002021
GA
Other
Enumeration date
03/31/2015
Last updated
03/31/2015
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