Organization
EAGLES LANDING PAIN & REHAB
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SARA BADIE MANAGER (MANAGER)
(770) 455-4600
Entity
Organization
Contact information
Practice address
3286 BUCKEYE RD STE 102, ATLANTA, GA 30341-4228
(770) 455-4600
(770) 455-7799
Mailing address
125 EAGLE SPRING DR, STOCKBRIDGE, GA 30281-6328
(678) 379-0943
(678) 379-0945
Taxonomy
Speciality
Code
Description
License number
State
111NR0400X
Rehabilitation Chiropractor
Primary
006333CHIRO
GA
Other
Enumeration date
08/13/2010
Last updated
08/13/2010
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