Organization
DECATUR PHYSICAL THERAPY & SPORTS MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CECIL M ANDERSON III PT (SOLE PROPRIETOR)
(404) 297-9315
Entity
Organization
Contact information
Practice address
487 WINN WAY STE 201, DECATUR, GA 30030-1728
(404) 297-9315
(404) 297-2741
Mailing address
487 WINN WAY STE 201, DECATUR, GA 30030-1728
(404) 297-9315
(404) 297-2741
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
2841
GA
Other
Enumeration date
06/21/2013
Last updated
06/21/2013
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