Organization
REHABILITATION PHYSICIAN SPECIALISTS OF GEORGIA, PC
Active
Organization
REHABILITATION PHYSICIAN SPECIALISTS OF GEORGIA, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TRISTA J MARSHALL MD (PHYSICIAN/OWNER)
(478) 361-2822
Entity
Organization
Contact information
Practice address
3351 NORTHSIDE DR, MACON, GA 31210-2587
(478) 361-2822
Mailing address
3022 CASTLEWOODS DR, MACON, GA 31204-1474
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
068927
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003137114D
—
GA
Enumeration date
04/20/2018
Last updated
04/20/2018
Update your record
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