Organization
CERTIFIED REHAB OF GEORGIA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES R ASPINWALL (PRESIDENT)
(706) 884-8360
Entity
Organization
Contact information
Practice address
302 S GREENWOOD ST, LAGRANGE, GA 30240-3122
(706) 884-8360
(706) 884-0265
Mailing address
302 S GREENWOOD ST, LAGRANGE, GA 30240-3122
(706) 884-8360
(706) 884-0265
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
LIC006138
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
52793122
BCBS
GA
Enumeration date
10/25/2006
Last updated
09/21/2009
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