NPI 1285029884

Hhsrc Neuromuscular

Organisation Physical Disabilities Residential Treatment Facility Fairburn, GA

Practice location

Address: 5474 Oakley Industrial Blvd APT. 1032, Fairburn, GA 30213-4455
Phone: (678) 778-2109
Fax: (770) 774-4232
Mailing address: 5474 Oakley Industrial Blvd APT 1032, Fairburn, GA 30213-4455

Authorised official

Name: John Meddling
Title: Owner/ Neuromuscular Therapist
Phone: (678) 778-2109

Registered specialties

Physical Disabilities Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320700000X Licence MT002021 (GA)

Other Residential Treatment Facility, Physical Disabilities providers in Georgia →

Registry record

NPI: 1285029884
Entity type: Organization
NPI issued: 31 Mar 2015
Record last updated: 31 Mar 2015

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.