Organization
MACON REHABILITATION & PERFORMANCE CENTER INC
Active
Organization
MACON REHABILITATION & PERFORMANCE CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SAMMY K BONFIM P.T. (CEO/OWNER)
(478) 757-2255
Entity
Organization
Contact information
Practice address
125 PLANTATION CENTRE DR S, BLDG. 900, MACON, GA 31210-2079
(478) 757-2255
(478) 477-2977
Mailing address
125 PLANTATION CENTRE DR S, BLDG. 900, MACON, GA 31210-2079
(478) 757-2255
(478) 477-2977
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
01/25/2008
Last updated
02/02/2015
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