institution
Centennial Professional Therapy Services Corporation
Parenteral & Enteral Nutrition Supplies (DME) in Atlanta, Georgia
NPI 1013955194

Centennial Professional Therapy Services Corporation is a Parenteral & Enteral Nutrition Supplies (DME) based in Atlanta, GA and is specialized in Parenteral & Enteral Nutrition. Centennial Professional Therapy Services Corporation practices in Atlanta, GA. The NPI Number for Centennial Professional Therapy Services Corporation is 1013955194 and holds a License No. 113146 (Georgia).

The current practice location address for Centennial Professional Therapy Services Corporation is 303 Perimeter Ctr N, Atlanta, GA and can be reached out via phone at 770-379-1035 and via fax at 770-234-5172. You can also correspond with Centennial Professional Therapy Services Corporation through the mailing address at 303 PERIMETER CTR N, ATLANTA, GA - 30346-3402 (mailing address contact number: 770-379-1035).

Location: 303 Perimeter Ctr N, Atlanta, GA, 30346-3402
institution
Provider Profile Details
NPI Number
1013955194
Provider Name
Centennial Professional Therapy Services Corporation
Credential
Provider Entity Type
Organization
Address
303 Perimeter Ctr N, Atlanta, GA, 30346-3402
Phone Number
770-379-1035
Fax Number
770-234-5172
Provider Enumeration Date
06/02/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
5603429 05 MT
1960161 05 LA
200124240A 05 IN
90274069 05 KY
134440716 05 AR
972405883A 05 GA
032746100 05 DC
076048001 05 TX
002106200 05 ID
00440076 05 MS
7701861 05 NC
3563038 05 TN
T4208 05 NM
institution
Provider Business Practice Location Address Details
Address
303 Perimeter Ctr N
City
State
Zip
30346-3402
Phone Number
770-379-1035
Fax Number
770-234-5172
person
Provider Business Mailing Address Details
Address
303 Perimeter Ctr N
City
State
Zip
30346-3402
Phone Number
770-379-1035
Fax Number
770-234-5172
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
Parenteral & Enteral Nutrition
Taxonomy
License No.
113146 (Georgia)
Definition
Definition to come...
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