Sovereign Rehabilitation of Georgia, LLC
NPI #1215109749 in Loganville, Georgia
Provider Information
- NPI Number
- 1215109749
- Entity Type
- Organization
- Organization Name
- Sovereign Rehabilitation of Georgia, LLC
- Primary Specialty
- Clinic/Center - Physical Therapy
- Enumeration Date
- Mar 25, 2008
- Last Updated
- Jul 19, 2008
Practice Location
- Address
- 3541 HIGHWAY 81
- City
- Loganville
- State
- Georgia
- ZIP Code
- 30052-4336
- Phone
- (678) 495-2990
Authorized Official
- Name
- ALAN J GRODIN
- Title
- PRESIDENT
- Phone
- (404) 835-3343
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Physical Therapy — Physical Therapy |
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