| Cmp Impact Therapeutic Services | |
|
1906 Elberta Rd Ste C Warner Robins GA 31093-1391 | |
| (478) 225-6404 | |
| Not Available |
| Full Name | Cmp Impact Therapeutic Services |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 1906 Elberta Rd Ste C, Warner Robins, Georgia |
| Authorized Official Name and Position | Coranne Polk (CEO) |
| Authorized Official Contact | 4782256404 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cmp Impact Therapeutic Services 1906 Elberta Rd Ste C Warner Robins GA 31093-1391 Ph: (478) 225-6404 | Cmp Impact Therapeutic Services 1906 Elberta Rd Ste C Warner Robins GA 31093-1391 Ph: (478) 225-6404 |
| NPI Number | 1134772247 |
|---|---|
| Provider Enumeration Date | 07/17/2019 |
| Last Update Date | 07/17/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134772247 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
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