Cedar Grove Rehab LLC
NPI #1255776613 in Ellenwood, Georgia
Provider Information
- NPI Number
- 1255776613
- Entity Type
- Organization
- Organization Name
- Cedar Grove Rehab LLC
- Primary Specialty
- Physical Medicine & Rehabilitation
- Enumeration Date
- Apr 30, 2013
- Last Updated
- Apr 30, 2013
Practice Location
Authorized Official
- Name
- MR. OTIS L BONNER III
- Title
- ATTORNEY
- Phone
- (770) 940-4975
Specialties & Taxonomy Codes
| Specialty |
|---|
| Chiropractor |
| Physician Assistant |
| Physical Medicine & Rehabilitation |
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