Graham Alexander Laidler, PT | |
1106 Fountain Park Cir, Brunswick, GA 31520-4806 | |
(912) 262-2151 | |
(912) 262-2754 |
Full Name | Graham Alexander Laidler |
---|---|
Gender | Male |
Speciality | Physical Therapy |
Experience | 37 Years |
Location | 1106 Fountain Park Cir, Brunswick, Georgia |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1922165794 | NPI | - | NPPES |
375060893B | Medicaid | GA | |
12117846 | Other | CAQH | |
375060893E | Medicaid | GA | |
375060893D | Medicaid | GA | |
375060893F | Medicaid | GA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | (* (Not Available)) | Secondary |
225100000X | Physical Therapist | PT008385 (Georgia) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Bone And Joint Institute Of South Georgia, P.c. | 7719053651 | 14 |
Ideal Physical Therapy Of Texas Llc | 0547583809 | 266 |
Provider Name | Bone And Joint Institute Of South Georgia, P.c. |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1528104510 PECOS PAC ID: 7719053651 Enrollment ID: O20080829000263 |
Mailing Address | Practice Location Address |
---|---|
Graham Alexander Laidler, PT 790 Remington Blvd, Bolingbrook, IL 60440-4909 Ph: (423) 238-7217 | Graham Alexander Laidler, PT 1106 Fountain Park Cir, Brunswick, GA 31520-4806 Ph: (912) 262-2151 |
Ashley M. Tindle, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1106 Fountain Park Cir, Brunswick, GA 31520 Phone: 912-262-2151 Fax: 912-262-2754 | |
Mr. Jesus M Abad, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2415 Parkwood Dr, Brunswick, GA 31520 Phone: 912-466-2660 | |
Mrs. Amy Hamm Faircloth, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2415 Parkwood Dr, Brunswick, GA 31520 Phone: 912-466-2660 | |
Audrey E Herbert, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3231 Glynn Ave, Brunswick, GA 31520 Phone: 912-265-9006 Fax: 912-554-3636 | |
Lacie L Brown, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4204 Coral Park Dr, Brunswick, GA 31520 Phone: 912-280-9205 Fax: 912-280-0022 | |
Bradley David Seuntjens, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4204 Coral Park Dr, Brunswick, GA 31520 Phone: 912-280-9205 Fax: 912-280-0022 | |
Alexander Thomas Davis, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1106 Fountain Park Cir, Brunswick, GA 31520 Phone: 912-262-2151 Fax: 912-262-2754 |