Organization
THERAPEUTIC MAXIPOTENT
Active
Other names
THERAPYMAX
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID NONYELUM MOMAH DPT (PRESIDENT)
(678) 799-1346
Entity
Organization
Contact information
Practice address
13015 BROWN BRIDGE RD STE 210, COVINGTON, GA 30016-9110
(678) 799-1346
(404) 549-3570
Mailing address
13015 BROWN BRIDGE RD STE 210, COVINGTON, GA 30016-9110
(678) 799-1346
(404) 549-3570
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
PT008102
GA
Other
Enumeration date
04/13/2012
Last updated
04/13/2012
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