Organization
GEORGIA PELVIC HEALTH & WELLNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELLY MCCLAIN (OWNER)
(706) 232-4383
Entity
Organization
Contact information
Practice address
205 REDMOND RD NW, ROME, GA 30165-1537
(706) 844-5844
Mailing address
205 REDMOND RD NW, ROME, GA 30165-1537
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2021652400
—
GA
Enumeration date
01/05/2021
Last updated
01/19/2023
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