Organization
SOVEREIGN REHABILITATION OF GEORGIA, LLC
Active
Other names
CENTERS FOR ORTHOPEDIC REHAB
Organization subpart
No
Provider details
NPI number
Authorized official
ALAN J GRODIN (PRESIDENT)
(404) 835-3343
Entity
Organization
Contact information
Practice address
495 WINN WAY, SUITE 120, DECATUR, GA 30030-1736
(404) 389-0077
(404) 389-0082
Mailing address
5555 PEACHTREE DUNWOODY RD NE, SUITE 201, ATLANTA, GA 30342-1703
(404) 835-3343
(404) 207-1391
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
03/25/2008
Last updated
09/15/2008
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