| Ware County Physical Therapy, Inc. | |
|
401 Preston St, Waycross, GA 31501-5248 | |
| (912) 283-7342 | |
| (912) 283-7402 |
| Full Name | Ware County Physical Therapy, Inc. |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 401 Preston St, Waycross, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144345513 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | PT001422 (Georgia) | Primary |
| Provider Name | Philip Martin Suess |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1760507107 PECOS PAC ID: 6608886759 Enrollment ID: I20080605000624 |
| Provider Name | Philip M Suess |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1760629711 PECOS PAC ID: 5698093615 Enrollment ID: I20150422002321 |
| Mailing Address | Practice Location Address |
|---|---|
| Ware County Physical Therapy, Inc. 401 Preston St, Waycross, GA 31501-5248 Ph: (912) 283-7342 | Ware County Physical Therapy, Inc. 401 Preston St, Waycross, GA 31501-5248 Ph: (912) 283-7342 |
Dr. Mary Catherine Wysong, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 401 Preston St, Waycross, GA 31501 Phone: 912-283-7342 Fax: 912-283-7402 | |
Hazel Blaylock-lawson, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 501 W Oneida St, Waycross, GA 31501 Phone: 912-283-3046 Fax: 912-283-9289 | |
Taylor Lane, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2267 Memorial Dr Ste 300, Waycross, GA 31501 Phone: 912-285-1927 | |
Mrs. Audrey D. Jernigan, Physical Therapist Medicare: Medicare Enrolled Practice Location: 301 Pineview Dr., Waycross, GA 31501 Phone: 912-285-2361 Fax: 912-285-0571 | |
Wade Benjmain Norris Iii, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2267 Memorial Dr Ste 300, Waycross, GA 31501 Phone: 912-285-1927 | |
Kaylee Davis Musselwhite, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 2267 Memorial Dr Ste 300, Waycross, GA 31501 Phone: 912-285-1927 Fax: 912-285-1929 |