Organization
HEALTH SUCCESS, INC.
Active
Organization
HEALTH SUCCESS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JACKIE L. KING RPT (ADMINISTRATOR)
(706) 869-7495
Entity
Organization
Contact information
Practice address
3712 EXECUTIVE CENTER DR, AUGUSTA, GA 30907-5095
(706) 869-7497
Mailing address
3712 EXECUTIVE CENTER DR, AUGUSTA, GA 30907-5095
(706) 869-7497
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT001809
GA
Other
Enumeration date
02/20/2007
Last updated
08/22/2020
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