Organization
REHAB ATLANTA, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WESLEY BURTON MCDANIEL II M.D. (OWNER)
(770) 442-0836
Entity
Organization
Contact information
Practice address
11685 ALPHARETTA HWY, SUITE 155, ROSWELL, GA 30076-4913
(770) 442-0836
(770) 664-0985
Mailing address
11685 ALPHARETTA HWY, SUITE 155, ROSWELL, GA 30076-4913
(770) 442-0836
(770) 664-0985
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
026588
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CC9720
RAILROAD MEDICARE
GA
Enumeration date
03/12/2007
Last updated
03/20/2008
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