| Prohealth Spinal and Rehab Center | |
|
1860 Atkinson Rd Ste 116 Lawrenceville GA 30043-5066 | |
| (770) 876-6972 | |
| (770) 452-2844 |
| Full Name | Prohealth Spinal and Rehab Center |
|---|---|
| Speciality | Clinic/center |
| Location | 1860 Atkinson Rd Ste 116, Lawrenceville, Georgia |
| Authorized Official Name and Position | Abdo Ibrahim (PHYSICIAN) |
| Authorized Official Contact | 7708766972 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Prohealth Spinal and Rehab Center 1860 Atkinson Rd Ste 116 Lawrenceville GA 30043-5066 Ph: (770) 876-6972 | Prohealth Spinal and Rehab Center 1860 Atkinson Rd Ste 116 Lawrenceville GA 30043-5066 Ph: (770) 876-6972 |
| NPI Number | 1740530195 |
|---|---|
| Provider Enumeration Date | 09/13/2012 |
| Last Update Date | 09/13/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740530195 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 007116 (Georgia) | Primary |
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Raymond L. Stovall, M.D., P.C. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 600 Professional Dr, Suite 150, Lawrenceville, GA 30045 Phone: 678-376-1800 Fax: 678-376-5500 |
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Bennett H. Bruckner,m.d., P.C. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 575 Professional Dr, Suite 290, Lawrenceville, GA 30045 Phone: 770-962-9410 Fax: 770-962-8489 |
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