Organization · Type 2 NPI
Sports Medicine and Rehabilitative Therapy
Specialist · Jesup, GA
NPI number
1982921771
Active
Practice location
182 Sunset Blvd
Jesup, GA 31545-0401
Fax (912) 385-2350
Mailing address
PO Box 5048
Macon, GA 31208-5048
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | 26436 (TN) |
Specialist: 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.
4 other providers at this address
Other specialist providers in Jesup
About NPI 1982921771
Sports Medicine and Rehabilitative Therapy's National Provider Identifier is 1982921771, issued on May 3, 2010. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Jesup, GA. The record was last updated on May 9, 2011.