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Organization

TRI-COUNTY REHABILITATION & PAIN, LLC

Active
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Organization

TRI-COUNTY REHABILITATION & PAIN, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. BRIAN KALLA MD (AUHORIZED OFFICIAL)
(706) 858-6056
Entity
Organization

Contact information

Practice address
102 GROSS CRESCENT CIR, SUITE 203, FORT OGLETHORPE, GA 30742-3600
(706) 858-6056
(706) 858-2412
Mailing address
102 GROSS CRESCENT CIR, SUITE 203, FORT OGLETHORPE, GA 30742-3600

Taxonomy

Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary

Other

Enumeration date
05/27/2006
Last updated
10/11/2007
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