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NPI Code Detail

MEDICARE: CORE HEALTH

MEDICARE: CORE HEALTH
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QP2000XPhysical Therapy Clinic/Center
22251X0800XOrthopedic Physical Therapist

General Provider Information

NPI Number : 1598516791
Entity Type Code : Organization
Provider Name (Legal Business Name) : CORE HEALTH
Provider Business Mailing Address
First Line : 1834 W NANCY CREEK DR NE
Second Line :
City : ATLANTA
State : GA
Zip : 30341-1453
Country : US
Telephone Number : 404-585-1960
Fax Number :
Provider Business Practice Location Address
First Line : 2947 N DRUID HILLS RD NE STE C
Second Line :
City : ATLANTA
State : GA
Zip : 30329-3980
Country : US
Telephone Number : 404-585-1960
Fax Number :
Authorized Official
Title or Position : FOUNDER
Name : LISA OGONOWSKI HARLAN
Credential : DPT
Telephone Number : 404-585-1960
Provider Enumeration Date : 03/27/2024
Last Update Date : 06/13/2024

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Directions to “CORE HEALTH ” Practice Location

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