Organization · Type 2 NPI

Advanta Medical & Physical Therapy PC

General Practice Physician · Marietta, GA

NPI number 1609158096 Active

About NPI 1609158096

Advanta Medical & Physical Therapy PC's National Provider Identifier is 1609158096, issued on Sep 13, 2011. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Marietta, GA. The record was last updated on Nov 21, 2012.