| Peach State Providers Group Inc | |
|
7146 Southlake Parkway, Morrow, GA 30260 | |
| (770) 960-9979 | |
| (770) 960-9662 |
| Full Name | Peach State Providers Group Inc |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 7146 Southlake Parkway, Morrow, Georgia |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629111802 | NPI | - | NPPES |
| 00881218A | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 1741 (Georgia) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Peach State Providers Group Inc 146 Hawn Road, Fayetteville, GA 30215 Ph: (770) 460-1494 | Peach State Providers Group Inc 7146 Southlake Parkway, Morrow, GA 30260 Ph: (770) 960-9979 |
Bradley Mannone, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1368 Southlake Professional Pl, Morrow, GA 30260 Phone: 615-778-4066 | |
Amadi Hall, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1590 Adamson Pkwy Ste 130, Morrow, GA 30260 Phone: 770-960-9575 | |
Ilana Dorsey, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2201 Mount Zion Pkwy, Morrow, GA 30260 Phone: 847-722-5778 | |
Kendall Huff, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 6319 Jonesboro Rd # A, Morrow, GA 30260 Phone: 770-960-9575 | |
Mark N. Mitchell, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 6635 Lake Dr, Morrow, GA 30260 Phone: 678-422-4300 Fax: 678-422-4299 | |
Dr. Tawiah Shukura Sanders, D.P.T. Physical Therapist Medicare: Medicare Enrolled Practice Location: 6635 Lake Dr, Morrow, GA 30260 Phone: 678-422-4300 Fax: 678-422-4299 |