Organization
PHYSIO AT HAMMONDS CENTRE LLC
Active
Other names
Physio
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL E TARVIN (VICE PRESIDENT AND SECRETARY)
(717) 972-1100
Entity
Organization
Contact information
Practice address
4523 FORSYTH RD, MACON, GA 31210-4527
(478) 254-7010
(478) 254-7012
Mailing address
4714 GETTYSBURG RD, LEGAL DEPARTMENT, MECHANICSBURG, PA 17055-4325
(717) 972-1100
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
05/05/2015
Last updated
10/29/2018
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