| Independent Physical Therapy Of Georgia, Llc | |
| 
					2097 N Decatur Rd Decatur GA 30033-5305  | |
| (404) 634-7171 | |
| (404) 634-7176 | 
| Full Name | Independent Physical Therapy Of Georgia, Llc | 
|---|---|
| Speciality | Clinic/center - Physical Therapy | 
| Location | 2097 N Decatur Rd, Decatur, Georgia | 
| Authorized Official Name and Position | Kevin Johanneson (VP REVENUE CYCLE) | 
| Authorized Official Contact | 4232387217 | 
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Independent Physical Therapy Of Georgia, Llc 6397 Lee Hwy Ste 300 Chattanooga TN 37421-2564 Ph: (423) 238-7217  | Independent Physical Therapy Of Georgia, Llc 2097 N Decatur Rd Decatur GA 30033-5305 Ph: (404) 634-7171  | 
| NPI Number | 1477858108 | 
|---|---|
| Provider Enumeration Date | 01/11/2011 | 
| Last Update Date | 09/20/2017 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1477858108 | NPI | - | NPPES | 
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