Legacy Physiatry Group North Carolina
NPI #1841967064 in Wilson, North Carolina
Provider Information
- NPI Number
- 1841967064
- Entity Type
- Organization
- Organization Name
- Legacy Physiatry Group North Carolina
- Primary Specialty
- Physical Medicine & Rehabilitation
- Enumeration Date
- Aug 25, 2021
- Last Updated
- Jan 5, 2022
Practice Location
- Address
- 3520 AIRPORT BLVD NW STE D
- City
- Wilson
- State
- North Carolina
- ZIP Code
- 27896-8674
- Phone
- (855) 655-7777
Authorized Official
- Name
- VENKATESH LAKSHMAN, MD
- Title
- CEO/PRESIDENT
- Phone
- (972) 881-4688
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Medicine & Rehabilitation |
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