Organization
WEST SIDE MEDICAL AND PHYSICAL THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARL T SHENKMAN (MEDICAL DIRECTOR)
(866) 592-9432
Entity
Organization
Contact information
Practice address
4780 ASHFORD DUNWOODY RD, SUITE A-617, ATLANTA, GA 30338-5564
(866) 592-9432
Mailing address
4780 ASHFORD DUNWOODY RD, SUITE A-617, ATLANTA, GA 30338-5564
(866) 592-9432
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
036000
GA
Other
Enumeration date
09/26/2007
Last updated
09/26/2007
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