Organization
ADVANCED HOME HEALTHCARE LLC
Active
Other names
ADVANCED REHABILITATION
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL SETH SHADBURN DPT (OWNER/CEO)
(770) 654-2489
Entity
Organization
Contact information
Practice address
3390 OLD OAKS RD, BUFORD, GA 30519-4084
(770) 654-2489
Mailing address
3390 OLD OAKS RD, BUFORD, GA 30519-4084
(770) 654-2489
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
225X00000X
Occupational Therapist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1306429618
NPI
GA
05
—
1962155317
—
GA
Enumeration date
01/26/2022
Last updated
03/20/2025
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