Organization
COLONIAL REHABILITATION GROUP, LLC
Active
Organization
COLONIAL REHABILITATION GROUP, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHRISTOPHER BRIAN DURHAM (PRESIDENT)
(770) 874-5400
Entity
Organization
Contact information
Practice address
11611 ROBIOUS RD, MIDLOTHIAN, VA 23113-2349
(804) 379-4771
Mailing address
5665 NEW NORTHSIDE DR, SUITE 320, ATLANTA, GA 30328-5831
(770) 874-5400
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
Other
Enumeration date
12/02/2015
Last updated
03/02/2017
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