NPI 1265136923

Executive Medical Practice L.L.C.

Organisation Physical Medicine & Rehabilitation Physician Marietta, GA

Practice location

Address: 1455 Bells Ferry Rd STE 100, Marietta, GA 30066-6078
Phone: (770) 421-8094
Fax: (770) 421-8096

Authorised official

Name: Rashelle Fox
Title: Creditialing
Phone: (404) 664-2997

Registered specialties

Physical Medicine & Rehabilitation Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208100000X

Other Physical Medicine & Rehabilitation providers in Georgia →

Registry record

NPI: 1265136923
Entity type: Organization
NPI issued: 28 Mar 2023
Record last updated: 21 Aug 2023

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.