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Aegis Group Practice, LLC

Physical Therapist in Roswell, GA. Organization (NPI-2).

NPI number1841705985
StatusActive
Last updated in NPPESDec 12, 2017

Details

NPI
1841705985
Entity type
Organization (NPI-2)
Legal business name
Aegis Group Practice, LLC
Organization subpart
No
Enumeration date
Dec 12, 2017
Last updated
Dec 12, 2017

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225100000X Physical Therapist––Yes
225X00000X Occupational Therapist––
235Z00000X Speech-Language Pathologist,––

Practice location

4401 Shallowford Rd Ste 158
Roswell, GA 30075-3175

Phone 800-444-6845 · Fax 844-640-6066

Mailing address

1000 Fianna Way # Md5740
Fort Smith, AR 72919-9008

Phone 479-201-6089

Authorized official

Michael Mcolvin
Vp-Finance
4792012000

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