Organization
CORE BRACE AND BIOSTIMULATION
Active
Organization
CORE BRACE AND BIOSTIMULATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEITH ALAN THOMAS (CEO)
(404) 392-2675
Entity
Organization
Contact information
Practice address
1001 VILLAGE PARK DR STE 106, GREENSBORO, GA 30642-5101
(404) 392-2675
(678) 782-7571
Mailing address
1001 VILLAGE PARK DR STE 106, GREENSBORO, GA 30642-5101
(404) 392-2675
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
01/22/2018
Last updated
06/06/2025
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