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Organization

PEAK REHABILITATION, INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
TIFFANI D SCHEEL (PRACTICE MANAGER)
(706) 367-1898
Entity
Organization

Contact information

Practice address
1660 WASHINGTON ST, JEFFERSON, GA 30549
(706) 367-1898
(706) 367-1899
Mailing address
1660 WASHINGTON ST, JEFFERSON, GA 30549-2666
(706) 367-1898
(706) 367-1899

Taxonomy

Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000548941H
GA
05
1006337
GA
01
344757
WELLCARE OF GA
GA
01
3951793
AETNA
GA
01
65BBCQX
MEDICARE PROVIDER #
GA
01
GRP6725
MEDICARE PTAN
GA
Enumeration date
05/30/2006
Last updated
06/18/2018
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