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Organization

AEGIS GROUP PRACTICE LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MICHAEL MCOLVIN (VP-FINANCE)
(479) 201-2000
Entity
Organization

Contact information

Practice address
1882 CLAIRMONT RD, DECATUR, GA 30033-3405
(404) 661-2083
(479) 431-2740
Mailing address
2601 NETWORK BLVD STE 102, FRISCO, TX 75034-9092
(972) 372-6779
(479) 668-0872

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
225X00000X
Occupational Therapist
Primary
235Z00000X
Speech-Language Pathologist

Other

Enumeration date
08/22/2019
Last updated
08/27/2019
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