| Organization Name: | OCCUPATIONAL HEALTH CENTERS OF GEORGIA PC |
| NPI Number: | 1033128608 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | WILLIAM TOM FOGARTY (SENIOR VP / CHIEF MEDICAL OFFICER) |
| Mailing Address: | 1157 West Ave. Suite B Conyers |
| State: | GA US |
| Postal Code: | 30012 |
| Phone Number: | 7707600066 |
| Fax Number: | 7709227599 |
| NPI Enumeration Date: | 08/05/2006 |
| NPI Last Update Date: | 07/14/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QP2000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Physical Therapy |
| Taxonomy Definition: | |