| Delano Staubyn Maxam Jr, PT, DPT | |
|
1810 Mulkey Rd, Suite 101, Austell, GA 30106-1151 | |
| (770) 948-6537 | |
| Not Available |
| Full Name | Delano Staubyn Maxam Jr |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 1810 Mulkey Rd, Austell, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336569524 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | PT011407 (Georgia) | Primary |
| Provider Name | Orthoatlanta, Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1851937114 PECOS PAC ID: 3971406885 Enrollment ID: O20040129000005 |
| Provider Name | Piedmont Orthopedics, Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1114317062 PECOS PAC ID: 4385963172 Enrollment ID: O20150429000361 |
| Mailing Address | Practice Location Address |
|---|---|
| Delano Staubyn Maxam Jr, PT, DPT 1810 Mulkey Rd, Suite 101, Austell, GA 30106-1151 Ph: (770) 948-6537 | Delano Staubyn Maxam Jr, PT, DPT 1810 Mulkey Rd, Suite 101, Austell, GA 30106-1151 Ph: (770) 948-6537 |
Neely Tolbert Sullivan, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1025 E West Connector # 4, Suite 406, Austell, GA 30106 Phone: 770-384-1001 Fax: 770-384-0333 | |
Dr. Emily Victoria Russell, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3999 Austell Rd Ste 701, Austell, GA 30106 Phone: 770-739-0090 | |
Agnes Kim, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1025 E West Connector Ste 406, Austell, GA 30106 Phone: 770-384-1001 Fax: 770-384-0333 | |
Kathryn T Abebe, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1025 E West Connector Ste 406, Austell, GA 30106 Phone: 770-740-8592 Fax: 770-752-9478 | |
Kristi S Dean, THERAPY DIR. I Physical Therapist Medicare: Medicare Enrolled Practice Location: 3999 Austell Rd, Austell, GA 30106 Phone: 770-739-0090 | |
Mcpars Physical Therapy And Rehab Associates Pc Physical Therapist Medicare: Medicare Enrolled Practice Location: 1810 Mulkey Rd Ste 101, Austell, GA 30106 Phone: 770-443-4483 Fax: 770-443-4410 | |
Cyanna Broughton, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1025 E West Connector Ste 406, Austell, GA 30106 Phone: 770-384-1001 |