Organization
OT STAT INC.
Active
Other names
North Georgia Rehab Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM DYER (OWNER)
(770) 503-7504
Entity
Organization
Contact information
Practice address
852 OAK ST, GAINESVILLE, GA 30501-3570
(770) 503-7504
Mailing address
852 OAK ST, GAINESVILLE, GA 30501-3570
(770) 503-7504
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00571293A
—
GA
Enumeration date
01/16/2007
Last updated
08/22/2020
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