Organization
AEGIS GROUP PRACTICE, LLC
Active
Parent organization
AEGIS THERAPIES, INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
AEGIS THERAPIES, INC.
Authorized official
MIKE MCOLVIN (DIRECTOR)
(479) 201-2000
Entity
Organization
Contact information
Practice address
2270 LOGANVILLE HWY, GRAYSON, GA 30017-1623
(479) 201-2000
(479) 201-4801
Mailing address
1000 FIANNA WAY # MD4843, FORT SMITH, AR 72919-9008
(479) 201-2000
(479) 201-4801
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
Primary
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
03/14/2017
Last updated
03/14/2017
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