Brent Joseph Davis, PT, DPT | |
916 Loganville Hwy Ste 1130, Bethlehem, GA 30620-2153 | |
(770) 867-7463 | |
(770) 307-0383 |
Full Name | Brent Joseph Davis |
---|---|
Gender | Male |
Speciality | Physical Therapist |
Location | 916 Loganville Hwy Ste 1130, Bethlehem, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1548784317 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | PT013025 (Georgia) | Primary |
Provider Name | Independent Physical Therapy Of Georgia Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1780636068 PECOS PAC ID: 2961312244 Enrollment ID: O20040303000396 |
Mailing Address | Practice Location Address |
---|---|
Brent Joseph Davis, PT, DPT 6397 Lee Hwy Ste 300, Chattanooga, TN 37421-2564 Ph: (423) 238-7217 | Brent Joseph Davis, PT, DPT 916 Loganville Hwy Ste 1130, Bethlehem, GA 30620-2153 Ph: (770) 867-7463 |
Breann London, Physical Therapist Medicare: Medicare Enrolled Practice Location: 916 Loganville Hwy Ste 1130, Bethlehem, GA 30620 Phone: 770-867-7463 | |
Jessica Prince, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 916 Loganville Hwy Ste 1130, Bethlehem, GA 30620 Phone: 770-867-7463 Fax: 770-307-0383 | |
David Lewis Clay, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 916 Loganville Hwy, Ste 1130, Bethlehem, GA 30620 Phone: 404-671-9525 Fax: 404-671-9526 | |
Aaron Craig Weeks, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 916 Loganville Hwy, Ste 1130, Bethlehem, GA 30620 Phone: 404-671-9525 Fax: 404-671-9526 | |
Kristofer Paul Chamblee, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 916 Loganville Hwy, Ste 1130, Bethlehem, GA 30620 Phone: 404-671-9525 Fax: 404-671-9526 | |
Amy Elizabeth Duffy, PT, MS Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 916 Loganville Hwy Ste 1130, Bethlehem, GA 30620 Phone: 770-867-7463 Fax: 770-307-0383 |