Aegis Group Practice LLC

NPI #1295412773 in Suwanee, Georgia

Provider Information

NPI Number: 1295412773
Entity Type: Organization
Organization Name: Aegis Group Practice LLC
Primary Specialty: Physical Therapist
Enumeration Date: Jun 28, 2023
Last Updated: Jun 28, 2023

Practice Location

Address: 4055 SUWANEE DAM RD
City: Suwanee
State: Georgia
ZIP Code: 30024-4948
Phone: (800) 444-6845

Authorized Official

Name: MISTY S WILSON
Title: CONTRACT & CREDENTIALING REP
Phone: (972) 372-6779

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X
Speech-Language Pathologist	235Z00000X
Physical Therapist	225100000X	Primary

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