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Contact Information

ADVANCED MEDICAL AND REHABILITATION
3614 HIGHWAY 5
DOUGLASVILLE, GA30135-2314
 Phone: 770-489-9332
 Fax: 770-489-0649
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Rehabilitation

111NR0400X 35 Chiropractic
Indicates primary specialty

NPI Profile & details for ADVANCED MEDICAL AND REHABILITATION · (Female)

NPI # 1750541074
Status Active
Credentials
Entity Individual
Enumeration date 06/10/2008
Last updated 05/17/2010 - About 16 years ago
Sole proprietor 1 Not specified
Identifiers
  • GA License # CHIR006467
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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