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PHYSICAL MEDICINE CENTER NPI 1588767750


NPI Information

NPI: 1588767750
Provider Name: PHYSICAL MEDICINE CENTER
Classification: Specialist - 174400000X
Entity Type: Organization
Address:
1642 ROSWELL RD
MARIETTA, GA
ZIP 30062
Phone: (770) 973-8800
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PHYSICAL MEDICINE CENTER is a specialist in Marietta, GA. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. PHYSICAL MEDICINE CENTER NPI is 1588767750. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1642 ROSWELL RD
MARIETTA, GA
ZIP 30062-621
Phone: (770) 973-8800
Fax: (770) 971-6962

The provider's authorized official is Kenneth S Weiner .
The authorized official title is President and has the following contact phone number (770) 973-8800.

The enumeration date for this NPI number is 9/6/2006 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1174400000XSpecialistYes
2208100000XPhysical Medicine & RehabilitationG00161GEORGIAX

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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