NPI 1194128447

Procare Medical Group, LLC

Organisation Physical Medicine & Rehabilitation Physician Marietta, GA

Practice location

Address: 1395 S Marietta Pkwy SE Bldg 100 Suite 102, Marietta, GA 30067-4440
Phone: (770) 425-8700
Fax: (770) 425-8740

Authorised official

Name: Cynthia Tate
Title: Administrator
Phone: (770) 428-8700

Registered specialties

Physical Medicine & Rehabilitation Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208100000X

Other Physical Medicine & Rehabilitation providers in Georgia →

Registry record

NPI: 1194128447
Entity type: Organization
NPI issued: 1 Oct 2014
Record last updated: 1 Oct 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.