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SOUTH ATLANT MEDICAL& REHABILITATION L.L.C. NPI 1013042712


NPI Information

NPI: 1013042712
Provider Name: SOUTH ATLANT MEDICAL& REHABILITATION, L.L.C.
Classification: Specialist - 174400000X
Entity Type: Organization
Address:
1711 WASHINGTON AVE
EAST POINT, GA
ZIP 30344
Phone: (404) 767-7474
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SOUTH ATLANT MEDICAL& REHABILITATION, L.L.C. is a specialist in East Point, 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. SOUTH ATLANT MEDICAL& REHABILITATION, L.L.C. NPI is 1013042712. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1711 WASHINGTON AVE
EAST POINT, GA
ZIP 30344-115
Phone: (404) 767-7474
Fax: (404) 767-7707

The provider's authorized official is Ian Bradley Brunet .
The authorized official title is Owner and has the following contact phone number (678) 817-4053.

The enumeration date for this NPI number is 2/22/2007 and was last updated on 10/28/2009.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1174400000XSpecialistYes

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: 5/5/2024

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