Organization
DISCOVER REHABILITATION, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CRAIG GRUBER D.C. (OWNER)
(770) 516-9900
Entity
Organization
Contact information
Practice address
2295 TOWNE LAKE PKWY, SUITE 112, WOODSTOCK, GA 30189-5520
(770) 516-9900
(770) 516-9080
Mailing address
3940 CHEROKEE ST NW, SUITE 402, KENNESAW, GA 30144-6421
(770) 423-9010
(770) 423-9010
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIR005904
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1841392735
NPI
—
01
—
35ZCGCS
MEDICARE IDENTIFICATION NUMBER
—
Enumeration date
09/17/2008
Last updated
09/17/2008
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