| Organization Name: | NORTHEAST GEORGIA MEDICAL CENTER |
| NPI Number: | 1932321338 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | LIZ JACKSON (SUPERVISOR OF ACUTE AND INPATIENT R) |
| Mailing Address: | 5015 Arbor Creek Court Cumming |
| State: | GA US |
| Postal Code: | 30040 |
| Phone Number: | 6789473445 |
| Fax Number: | 6789473445 |
| NPI Enumeration Date: | 05/03/2007 |
| NPI Last Update Date: | 06/24/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | PT004146 |
| 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 |