Organization
IMPACT PHYSICIAN GROUP TEXAS PHYSIATRY SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL MILLER CEO (CEO)
(678) 967-5599
Entity
Organization
Contact information
Practice address
20 PINNACLE PKWY, ELGIN, SC 29045-8389
(803) 438-8890
Mailing address
21 EASTBROOK BND STE 218, PEACHTREE CITY, GA 30269-1546
(678) 967-5599
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
Other
Enumeration date
06/27/2025
Last updated
08/27/2025
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