Aegis Group Practice LLC
Physical Therapist in Atlanta, GA. Organization (NPI-2).
NPI number1992235451
StatusActive
Last updated in NPPESMar 10, 2022
Details
- NPI
- 1992235451
- Entity type
- Organization (NPI-2)
- Legal business name
- Aegis Group Practice LLC
- Organization subpart
- Yes
- Enumeration date
- Jun 18, 2017
- Certification date
- Mar 10, 2022
- Last updated
- Mar 10, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | – | – | Yes |
| 225X00000X | Occupational Therapist | – | – | |
| 235Z00000X | Speech-Language Pathologist, | – | – |
Practice location
3033 Continental Colony Pkwy SwAtlanta, GA 30331-3039
Phone 800-444-6845 · Fax 479-478-2852
Mailing address
4933 Old Greenwood RdFort Smith, AR 72903-6906
Phone 479-201-6123
Authorized official
Michael Mcolvin
Vice President
4792016100
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