Organization
BEYOND REHABILITATION PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SPENCER WINGATE P.T, D.P.T (OWNER)
(404) 483-7081
Entity
Organization
Contact information
Practice address
1376 LAMONT DR SW, MABLETON, GA 30126-1182
(404) 483-7081
Mailing address
PO BOX 1787, MABLETON, GA 30126-1013
(404) 483-7081
Taxonomy
Speciality
Code
Description
License number
State
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
Primary
—
—
Other
Enumeration date
06/12/2013
Last updated
06/12/2013
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