| Aaron Wagoner, | |
|
130 Long Branch Rd Unit 102, Dahlonega, GA 30533-7132 | |
| (706) 864-0200 | |
| Not Available |
| Full Name | Aaron Wagoner |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 130 Long Branch Rd Unit 102, Dahlonega, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033944889 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | PT017337 (Georgia) | Primary |
| Provider Name | Independent Physical Therapy Of Georgia Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1780636068 PECOS PAC ID: 2961312244 Enrollment ID: O20040303000396 |
| Provider Name | Benchmark Physical Therapy, Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1083666903 PECOS PAC ID: 1557395209 Enrollment ID: O20050921001120 |
| Provider Name | Agilitas Usa Inc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1962417444 PECOS PAC ID: 3375454648 Enrollment ID: O20111018000281 |
| Mailing Address | Practice Location Address |
|---|---|
| Aaron Wagoner, 1200 Corporate Dr Ste 400, Hoover, AL 35242-5424 Ph: (866) 518-0283 | Aaron Wagoner, 130 Long Branch Rd Unit 102, Dahlonega, GA 30533-7132 Ph: (706) 864-0200 |
Nicholas Francis Bader, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 420 Walmart Way Ste B, Dahlonega, GA 30533 Phone: 706-482-2268 Fax: 706-482-2294 | |
Pediatric Thera Pea Services Of Georgia, Llc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 670 Arrendale Rd, Dahlonega, GA 30533 Phone: 706-344-9316 | |
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In Motion Services, Inc. Physical Therapist Medicare: Medicare Enrolled Practice Location: 4351 Camp Wahsega Rd, Dahlonega, GA 30533 Phone: 678-614-0037 | |
Jessica Childress, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 420 Walmart Way Ste B, Dahlonega, GA 30533 Phone: 706-482-2268 Fax: 706-482-2294 | |
Anne Rathbone, Physical Therapist Medicare: Medicare Enrolled Practice Location: 420 Walmart Way Ste B, Dahlonega, GA 30533 Phone: 706-482-2268 |