Organization Name: | MIDDLE GEORGIA FAMILY REHAB |
NPI Number: | 1366844367 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | BRENDA HICKS (OFFICE MANAGER) |
Mailing Address: | 100 Hamilton Pointe Dr. Suite 115 & 120 Byron |
State: | GA US |
Postal Code: | 31008 |
Phone Number: | 4789564916 |
Fax Number: | 4789560958 |
NPI Enumeration Date: | 09/22/2014 |
NPI Last Update Date: | 09/22/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 302R00000X |
License Number: | PT002436 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | GA |
Taxonomy Type: | Managed Care Organizations |
Taxonomy Classification: | Health Maintenance Organization |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) A form of health insurance in which its members prepay a premium for the HMO |