Organization
ROOSEVELT WARM SPRINGS REHABILITATION & SPECIALTY HOSPITALS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CONNIE THOMPSON (SUPERVISOR)
(706) 721-5505
Entity
Organization
Contact information
Practice address
6135 ROOSEVELT HWY, WARM SPRINGS, GA 31830-2757
(706) 655-5461
(706) 644-5457
Mailing address
6135 ROOSEVELT HWY, WARM SPRINGS, GA 31830-2757
(706) 655-5461
(706) 644-5457
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
034164
GA
207Q00000X
Family Medicine Physician
059603
GA
207Q00000X
Family Medicine Physician
061328
GA
207R00000X
Internal Medicine Physician
036164
GA
207R00000X
Internal Medicine Physician
037166
—
207R00000X
Internal Medicine Physician
045791
GA
207R00000X
Internal Medicine Physician
047852
GA
207R00000X
Internal Medicine Physician
073402
GA
208100000X
Physical Medicine & Rehabilitation Physician
009537
GA
208100000X
Physical Medicine & Rehabilitation Physician
013142
GA
208100000X
Physical Medicine & Rehabilitation Physician
026588
GA
208100000X
Physical Medicine & Rehabilitation Physician
048738
GA
208100000X
Physical Medicine & Rehabilitation Physician
Primary
070267
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2021726235
MEDICARE NUMBER
GA
01
—
202I086305
MEDICARE NUMBER
GA
01
—
202I087470
MEDICARE NUMBER
GA
01
—
202I118135
MEDICARE NUMBER
GA
01
—
202I252544
MEDICARE NUMBER
GA
01
—
202I501877
MEDICARE NUMBER
GA
01
—
202I55969
MEDICARE NUMBER
GA
01
—
202I56862
MEDICARE NUMBER
GA
01
—
511I5200126
MEDICARE NUMBER
GA
Enumeration date
06/05/2015
Last updated
11/09/2022
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