Organization
LEGACY ORTHOPEDIC REHAB LLC
Active
Organization
LEGACY ORTHOPEDIC REHAB LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSHUA SMITH (OWNER/PHYSICAL THERAPIST)
(229) 886-7400
Entity
Organization
Contact information
Practice address
2462 HIGHWAY 34 E STE E, NEWNAN, GA 30265-2378
(229) 886-7400
Mailing address
165 HICKORY HILLS DR, NEWNAN, GA 30263-6343
(229) 886-7400
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
—
—
Other
Enumeration date
05/18/2023
Last updated
05/18/2023
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