NPI 1619256674

Marietta Spinal Rehab Center

Organisation Preferred Provider Organization Marietta, GA

Practice location

Address: 1000 Whitlock Ave NW STE 340, Marietta, GA 30064-5449
Phone: (770) 541-0012
Fax: (770) 541-0032

Authorised official

Name: Sara Badie
Title: Billing Manager
Phone: (770) 876-6964

Registered specialties

Preferred Provider Organization Primary

Managed Care Organizations Taxonomy 305R00000X Licence CHIR002610 (GA)

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Registry record

NPI: 1619256674
Entity type: Organization
NPI issued: 9 Aug 2011
Record last updated: 9 Aug 2011

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.