Organization
JOHNS CREEK THERAPY CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARC C STEWART PT (OWNER)
(770) 622-5440
Entity
Organization
Contact information
Practice address
4255 JOHNS CREEK PKWY, SUITE A, SUWANEE, GA 30024-6122
(770) 622-5440
(770) 622-5388
Mailing address
4255 JOHNS CREEK PKWY, SUITE A, SUWANEE, GA 30024-6122
(770) 622-5440
(770) 622-5388
Taxonomy
Speciality
Code
Description
License number
State
261QR0401X
Comprehensive Outpatient Rehabilitation Facility (CORF)
Primary
006322
GA
Other
Enumeration date
08/15/2012
Last updated
08/15/2012
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