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Organization

GEORGIA REHABILITATION SPECIALISTS, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. MICHAEL A VAUGHN (PHYSICAL THERAPIST/OWNER)
(770) 467-4426
Entity
Organization

Contact information

Practice address
1438 HIGHWAY 16 W, SUITE C, GRIFFIN, GA 30223-2054
(770) 467-4426
(770) 467-4427
Mailing address
PO BOX 2331, GRIFFIN, GA 30224-0059
(770) 467-4426
(770) 467-4427

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT007305
GA

Other

Enumeration date
12/04/2007
Last updated
12/05/2007
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