Organization
FITNESS FORUM OF GEORGIA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MEGAN MCDONALD MSPT (DIRECTOR PHYSICAL THERAPY)
(404) 236-0808
Entity
Organization
Contact information
Practice address
993 F JOHNSON FERRY ROAD NE, SUITE 330, ATLANTA, GA 30342
(404) 236-0808
(404) 256-0709
Mailing address
993 F JOHNSON FERRY ROAD NE, SUITE 330, ATLANTA, GA 30342
(404) 236-0808
(404) 256-0709
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
65BBDGS
GA
225100000X
Physical Therapist
Primary
65BBDGS
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
611446156001
TRICARE
GA
01
—
DB0566
MEDICARE RAILROAD
GA
Enumeration date
11/08/2006
Last updated
06/09/2008
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