| Luthersville Spinal Rehab | |
|
191 S Main St Luthersville GA 30251-1809 | |
| (404) 991-9895 | |
| Not Available |
| Full Name | Luthersville Spinal Rehab |
|---|---|
| Speciality | Internal Medicine |
| Location | 191 S Main St, Luthersville, Georgia |
| Authorized Official Name and Position | Al Kelly (DIRECTOR) |
| Authorized Official Contact | 4049919895 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Luthersville Spinal Rehab 191 S Main St Luthersville GA 30251-1809 Ph: () - | Luthersville Spinal Rehab 191 S Main St Luthersville GA 30251-1809 Ph: (404) 991-9895 |
| NPI Number | 1134611825 |
|---|---|
| Provider Enumeration Date | 05/30/2018 |
| Last Update Date | 05/30/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134611825 | NPI | - | NPPES |
| 032264 | Other | GA | MEDICAL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| 261QR0400X | Clinic/center - Rehabilitation | (* (Not Available)) | Secondary |