Organization
COLONIAL REHABILITATION GROUP, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHRISTOPHER BRIAN DURHAM (PRESIDENT)
(770) 874-5400
Entity
Organization
Contact information
Practice address
4589 LIFESTYLE LN, MIDLOTHIAN, VA 23112-4807
(770) 874-5400
Mailing address
5665 NEW NORTHSIDE DR, SUITE 320, ATLANTA, GA 30328-5831
(770) 874-5400
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
Other
Enumeration date
02/15/2017
Last updated
02/15/2017
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