Organization
PERFORMANCE GROUP ALBERTVILLE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL ANDREW DAVIS (BILLING COORDINATOR)
(256) 744-3350
Entity
Organization
Contact information
Practice address
4198 U.S. HWY. 431, STE D, ALBERTVILLE, AL 35951-0238
(256) 894-3870
(256) 894-3872
Mailing address
P.O. BOX 14149, BATON ROUGE, LA 70898-4149
(225) 924-9827
(225) 924-9829
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
08/05/2006
Last updated
08/29/2011
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