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Certified Rehab Of Georgia
Specialist in Lagrange, Georgia
NPI 1598840282

Certified Rehab Of Georgia is a Specialist based in Lagrange, GA. Certified Rehab Of Georgia practices in Lagrange, GA. The NPI Number for Certified Rehab Of Georgia is 1598840282 and holds a License No. LIC006138 (Georgia).

The current practice location address for Certified Rehab Of Georgia is 302 S Greenwood St, Lagrange, GA and can be reached out via phone at 706-884-8360 and via fax at 706-884-0265.

Location: 302 S Greenwood St, Lagrange, GA, 30240-3122
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1598840282
Provider Name
Certified Rehab Of Georgia
Credential
Provider Entity Type
Organization
Address
302 S Greenwood St, Lagrange, GA, 30240-3122
Phone Number
706-884-8360
Fax Number
706-884-0265
Provider Enumeration Date
10/25/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
52793122 01 GA BCBS
institution
Provider Business Practice Location Address Details
Address
302 S Greenwood St
City
Lagrange
State
Georgia
Zip
30240-3122
Phone Number
706-884-8360
Fax Number
706-884-0265
person
Provider Business Mailing Address Details
Address
302 S Greenwood St
City
Lagrange
State
Georgia
Zip
30240-3122
Phone Number
706-884-8360
Fax Number
706-884-0265
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
LIC006138 (Georgia)
Definition
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.
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