Doctor Name: | RUSSELL R STINCHCOMB |
NPI Number: | 1629356746 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | P.T. |
License Number: | PT010304 |
Business Practice Address: | 4425 Paulsen St Bldg A Savannah, GA - 314053663 |
Business Phone Number: | 9125251279 |
Business Fax Number: | 9123545973 |
Mailing Address: | 4425 Paulsen St Bldg A, SAVANNAH |
State: | GA |
Postal Code: | 314053663 |
Phone Number: | 9125251279 |
Fax Number: | 9123545973 |
NPI Enumeration Date: | 07/22/2011 |
NPI Last Update Date: | 09/01/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | PT010304 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | GA |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |