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Contact Information

ADVANTAGE HEALTH & REHAB LLC
1431 RIVERSIDE PARKWAY
LAWRENCEVILLE, GA30043
 Phone: 770-513-0111
 Fax: 770-513-3731
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
 

Chiropractor

111N00000X 35 Chiropractic
 

Nurse Practitioner

363L00000X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for ADVANTAGE HEALTH & REHAB LLC

NPI Number 1629354303
LBN Legal business name ADVANTAGE HEALTH & REHAB LLC
Authorized official PAUL WILLIS - (CEO)
Entity Organization
Organization subpart 1 Yes
Enumeration date 10/26/2011
Last updated 10/26/2011 - About 8 years ago
Identifiers
GA License # 58389
GA License # CHIR004786
GA License # RN051666
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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