Jemicah Mosby, | |
385 Sablewood Dr, Milton, GA 30004-8048 | |
(770) 377-7633 | |
Not Available |
Full Name | Jemicah Mosby |
---|---|
Gender | Male |
Speciality | Occupational Therapist |
Location | 385 Sablewood Dr, Milton, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1194480764 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225X00000X | Occupational Therapist | 004956 (Georgia) | Primary |
Provider Name | Legacy Healthcare Services Inc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1528419751 PECOS PAC ID: 2163339722 Enrollment ID: O20160830000411 |
Provider Name | Legacy Healthcare Services Inc |
---|---|
Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1831619337 PECOS PAC ID: 2163339722 Enrollment ID: O20220916001457 |
Mailing Address | Practice Location Address |
---|---|
Jemicah Mosby, 385 Sablewood Dr, Milton, GA 30004-8048 Ph: (770) 377-7633 | Jemicah Mosby, 385 Sablewood Dr, Milton, GA 30004-8048 Ph: (770) 377-7633 |
Independent Physical Therapy Of Ga, Llc Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 12990 Highway 9 N, Ste 110, Milton, GA 30004 Phone: 770-751-0095 Fax: 770-751-9944 | |
Kristen Julian, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 15830 Winterfield Way, Milton, GA 30004 Phone: 404-668-5045 |