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NPI Code Detail

MEDICARE: DREAM MEDICAL & REHAB, LLC

MEDICARE: DREAM MEDICAL & REHAB, LLC
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
1302F00000XExclusive Provider Organization121406GA

General Provider Information

NPI Number : 1679777932
Entity Type Code : Organization
Provider Name (Legal Business Name) : DREAM MEDICAL & REHAB, LLC
Provider Business Mailing Address
First Line : 2024 POWERS FERRY RD SE
Second Line : SUITE #110
City : ATLANTA
State : GA
Zip : 30339-5011
Country : US
Telephone Number : 770-955-3501
Fax Number : 770-955-3505
Provider Business Practice Location Address
First Line : 2024 POWERS FERRY RD SE
Second Line : SUITE #110
City : ATLANTA
State : GA
Zip : 30339-5011
Country : US
Telephone Number : 770-955-3501
Fax Number : 770-955-3505
Authorized Official
Title or Position : MEDICAL DOCTOR
Name : GERMAINE D. CUMMINGS
Credential : M.D.,
Telephone Number : 770-955-3501
Provider Enumeration Date : 06/12/2007
Last Update Date : 08/22/2020

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Directions to “DREAM MEDICAL & REHAB, LLC ” Practice Location

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