Organization
ADVANCE THERAPEUTICS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
REASONS WESTON (CREDENTIALING LIASION)
(404) 552-1049
Entity
Organization
Contact information
Practice address
2950 STONE HOGAN CONNECTOR RD SW, ATLANTA, GA 30331-2837
(404) 781-2800
(833) 897-2947
Mailing address
150 MEDICAL BLVD STE C, STOCKBRIDGE, GA 30281-5053
(404) 781-2800
(833) 897-2947
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
261QR0400X
Rehabilitation Clinic/Center
—
—
Other
Enumeration date
05/10/2021
Last updated
05/10/2021
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