Organization
CROSS MY HEART PHYSICAL THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KAREN BARBER (PHYSICAL THERAPIST)
(404) 392-7110
Entity
Organization
Contact information
Practice address
1260 HIGHWAY 54 W, SUITE 101, FAYETTEVILLE, GA 30214-4514
(404) 392-7110
Mailing address
PO BOX 877, SHARPSBURG, GA 30277-0877
(404) 392-7110
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
4808
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
52672107004
BLUE CROSS BLUE SHIELD
GA
01
—
P00267638
RAILROAD MEDICARE
GA
Enumeration date
12/12/2006
Last updated
08/22/2020
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