Organization · Type 2 NPI
Advanta Medical & Physical Therapy PC
General Practice Physician · Marietta, GA
NPI number
1609158096
Active
Practice location
1720 Powers Ferry Rd, Suite 100
Marietta, GA 30067-5442
Fax (770) 953-6658
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor | 111N00000X | None listed |
| Internal Medicine Physician | 207R00000X | None listed |
| General Practice Physician Primary | 208D00000X | None listed |
| Physical Therapist | 225100000X | None listed |
General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
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- Dawn Primary CareGeneral Practice Physician Marietta, GA NPI 1427830033
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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.