Unknown Individual – Physical Medicine & Rehabilitation Physician, NPI 1609924125
Physical Medicine & Rehabilitation Physician
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Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
4448 RIDGEGATE DR
DULUTH, GA 300972320
Phone: (404) 712-8052
Type: Mailing
Grady Memorial Hospital, 80, Jesse Hill Junior Drive Southeast, Sweet Auburn, Old Fourth Ward, Atlanta, Fulton County, Georgia, 30303, United States
ATLANTA, GA 303033031
Phone: (404) 778-7714
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 30097)
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