Organization
ATLANTA BACK CLINIC - ORTHOPEDIC PHYS THERAPY & TRAINING CTR INC
Active
Other names
Atlanta Back Clinic Inc
Organization subpart
No
Provider details
NPI number
Authorized official
PAMELA ANN MAY PT (VICE PRESIDENT)
(404) 274-5169
Entity
Organization
Contact information
Practice address
1901 MONTREAL RD STE 117, TUCKER, GA 30084-5246
(770) 491-6004
(770) 723-0872
Mailing address
1901 MONTREAL RD STE 117, TUCKER, GA 30084-5246
(770) 491-6004
(770) 723-0872
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
000897
GA
225100000X
Physical Therapist
005459
GA
225100000X
Physical Therapist
Primary
005876
GA
225100000X
Physical Therapist
007858
GA
225100000X
Physical Therapist
008394
GA
Other
Enumeration date
04/13/2007
Last updated
09/07/2022
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