Organization
ACTIVE CARE MEDICAL ASSOCIATES OF FOREST PARK
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JENNIFER DANIELLE CRAWFORD (OFFICE MANAGER)
(404) 366-4124
Entity
Organization
Contact information
Practice address
1075 MAIN STREET, FOREST PARK, GA 30297
(404) 366-4124
(404) 366-0297
Mailing address
#342 5656 JONESBORO ROAD, SUITE #111, LAKE CITY, GA 30260
(404) 366-4124
(404) 366-0297
Taxonomy
Speciality
Code
Description
License number
State
2251S0007X
Sports Physical Therapist
Primary
—
GA
Other
Enumeration date
05/17/2007
Last updated
08/22/2020
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