Organization
WALTON REHABILTATION HOSPITAL
Active
Other names
Walton Rehabilitation Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL ANDRE HARRELL MSA (CHIEF FINANCIAL OFFICER)
(706) 724-7746
Entity
Organization
Contact information
Practice address
1355 INDEPENDENCE DR, AUGUSTA, GA 30901-1037
(706) 724-7746
(706) 823-8681
Mailing address
1355 INDEPENDENCE DR, AUGUSTA, GA 30901-1037
(706) 724-7746
(706) 823-8681
Taxonomy
Speciality
Code
Description
License number
State
283X00000X
Rehabilitation Hospital
Primary
121421
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003683879
—
GA
Enumeration date
10/04/2006
Last updated
01/16/2013
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