| Charles Speaks, DPT | |
|
1204 Us 19 S Ste B, Leesburg, GA 31763-5982 | |
| (229) 496-2342 | |
| Not Available |
| Full Name | Charles Speaks |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 1204 Us 19 S Ste B, Leesburg, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326858135 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | PT017555 (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 |
| Mailing Address | Practice Location Address |
|---|---|
| Charles Speaks, DPT 1200 Corporate Dr Ste 400, Hoover, AL 35242-5424 Ph: (423) 238-7217 | Charles Speaks, DPT 1204 Us 19 S Ste B, Leesburg, GA 31763-5982 Ph: (229) 496-2342 |
Laura Brennan O'lannerghty, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1366 Us Highway 82 W, Leesburg, GA 31763 Phone: 229-883-4009 Fax: 229-883-4320 | |
Katlyn Williams, Physical Therapist Medicare: Medicare Enrolled Practice Location: 1204 Us 19 S Ste B, Leesburg, GA 31763 Phone: 229-496-2342 | |
Mollie Mcgowan, PT, DPT, CSCS Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 117 Oakland Pkwy, Leesburg, GA 31763 Phone: 229-483-0044 | |
Michael Brandon Ross, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1204 Us 19 S Ste B, Leesburg, GA 31763 Phone: 229-496-2342 | |
Gene Tapayan Sandiego, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 166 Oakland Pkwy, Leesburg, GA 31763 Phone: 229-733-2499 | |
Barry J Lalonde, RPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 117 Oakland Pkwy, Leesburg, GA 31763 Phone: 229-483-0055 Fax: 334-732-3646 |