Organization Name: | COR II |
NPI Number: | 1033381561 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | REBECCA DAWN HOLLAND (SERVICE CENTER DIRECTOR) |
Mailing Address: | 5610 Bethelview Rd Suite 400 Cumming |
State: | GA US |
Postal Code: | 300407522 |
Phone Number: | 7707818851 |
Fax Number: | 7707818227 |
NPI Enumeration Date: | 03/25/2008 |
NPI Last Update Date: | 03/25/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QP2000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Physical Therapy |
Taxonomy Definition: |