Organization
GEORGIA STATE UNIVERSITY PHYSICAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMANDA STILLINGS (BUSINESS MANAGER)
(404) 413-1212
Entity
Organization
Contact information
Practice address
66 COURTLAND ST SE STE 108, ATLANTA, GA 30303-3021
(404) 413-1415
Mailing address
140 DECATUR ST SE, ATLANTA, GA 30303-3204
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
05/29/2013
Last updated
07/19/2021
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