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Contact Information

GEORGIA GERIATRICS AND REHABILITATION
549 COUNTRY CLUB DR
STOCKBRIDGE, GA30281-6347
 Phone: 404-438-7445
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

In Home Supportive Care

253Z00000X
 

Geriatrics

2251G0304X 65 Physical Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for GEORGIA GERIATRICS AND REHABILITATION

NPI Number 1972092955
LBN Legal business name GEORGIA GERIATRICS AND REHABILITATION
Authorized official WILLIE BEAVERS - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 05/06/2018
Last updated 11/07/2023 - About 3 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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