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Contact Information

MARIETTA SPINAL REHAB CENTER
1000 WHITLOCK AVE NW STE 340
MARIETTA, GA30064-5449
 Phone: 770-541-0012
 Fax: 770-541-0032
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Preferred Provider Organization

305R00000X
Indicates primary specialty

NPI Profile & details for MARIETTA SPINAL REHAB CENTER

NPI Number 1619256674
LBN Legal business name MARIETTA SPINAL REHAB CENTER
Authorized official SARA BADIE - (BILLING MANAGER)
Entity Organization
Organization subpart 1 No
Enumeration date 08/09/2011
Last updated 08/09/2011 - About 15 years ago
Identifiers
GA License # CHIR002610
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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