Organization
MIDDLE GEORGIA FAMILY REHAB
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRENDA HICKS (OFFICE MANAGER)
(478) 956-4916
Entity
Organization
Contact information
Practice address
100 HAMILTON POINTE DR., SUITE 115 & 120, BYRON, GA 31008
(478) 956-4916
(478) 956-0958
Mailing address
100 HAMILTON POINTE DR, P.O. BOX 1552, BYRON, GA 31008
(478) 956-4916
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
PT002436
GA
Other
Enumeration date
09/22/2014
Last updated
09/22/2014
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