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Sports Medicine And Rehabilitative Therapy
Specialist in Jesup, Georgia
NPI 1982921771

Sports Medicine And Rehabilitative Therapy is a Specialist based in Macon, GA. Sports Medicine And Rehabilitative Therapy practices in Jesup, GA. The NPI Number for Sports Medicine And Rehabilitative Therapy is 1982921771 and holds a License No. 26436 (Georgia).

The current practice location address for Sports Medicine And Rehabilitative Therapy is 182 Sunset Blvd, Jesup, GA and can be reached out via phone at 912-385-2333 and via fax at 912-385-2350. You can also correspond with Sports Medicine And Rehabilitative Therapy through the mailing address at PO BOX 5048, MACON, GA - 31208-5048 (mailing address contact number: 912-385-2333).

Location: 182 Sunset Blvd, Jesup, GA, 31208-5048
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1982921771
Provider Name
Sports Medicine And Rehabilitative Therapy
Credential
Provider Entity Type
Organization
Address
182 Sunset Blvd, Jesup, GA, 31208-5048
Phone Number
912-385-2333
Fax Number
912-385-2350
Provider Enumeration Date
05/03/2010
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
DQ8290 01 GA RAILROAD MEDICARE
institution
Provider Business Practice Location Address Details
Address
182 Sunset Blvd
City
Jesup
State
Georgia
Zip
31545-0401
Phone Number
912-385-2333
Fax Number
912-385-2350
person
Provider Business Mailing Address Details
Address
182 Sunset Blvd
City
Jesup
State
Georgia
Zip
31545-0401
Phone Number
912-385-2333
Fax Number
912-385-2350
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
26436 (Tennessee)
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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