Organization
JOHNS CREEK PHYSICAL THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARC C STEWART PT (PT/OWNER)
(770) 622-5344
Entity
Organization
Contact information
Practice address
4060 JOHNS CREEK PARKWAY, SUITE H, SUWANEE, GA 30024-6122
(770) 622-5344
(770) 622-5388
Mailing address
4060 JOHNS CREEK PARKWAY, SUITE H, SUWANEE, GA 30024-6122
(770) 622-5344
(770) 622-5388
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
PT006322
GA
225100000X
Physical Therapist
Primary
—
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PT006322
PHYSICAL THERAPIST LICENS
GA
Enumeration date
09/14/2006
Last updated
06/22/2015
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