Organization
A NEW BEGINNING HEALTH SERVICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICHOLE EDWARDS DPT (OWNER)
(404) 423-0439
Entity
Organization
Contact information
Practice address
2562 FAIRBURN RD STE D20, DOUGLASVILLE, GA 30135-1465
(770) 577-0399
Mailing address
PO BOX 607, AUSTELL, GA 30168-1006
(404) 423-0439
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000949737B
—
GA
Enumeration date
10/16/2015
Last updated
10/16/2015
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