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Organization

CHIMED REHAB SOUTH ATLANTA, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. STEPHEN B. COOPER DC, FACMUAP (MANAGER)
(334) 298-7700
Entity
Organization

Contact information

Practice address
541 FOREST PKWY STE 14, FOREST PARK, GA 30297-6110
(877) 495-7773
(866) 537-1711
Mailing address
PO BOX 1601, PHENIX CITY, AL 36868-1601
(334) 298-7700

Taxonomy

Speciality
Code
Description
License number
State
163WX0800X
Orthopedic Registered Nurse
261QM2500X
Medical Specialty Clinic/Center
261QP2300X
Primary Care Clinic/Center
Primary

Other

Enumeration date
04/07/2021
Last updated
06/14/2022
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