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NPI Code Detail

MEDICARE: MRS. EMILY P. WELCH PT

MEDICARE: MRS. EMILY P. WELCH PT
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
1225100000XPhysical Therapist001584GA

General Provider Information

NPI Number : 1699948349
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. EMILY P. WELCH PT
Provider Business Mailing Address
First Line : 4010 BENELL CT SE
Second Line :
City : SMYRNA
State : GA
Zip : 30082-3905
Country : US
Telephone Number : 770-436-1054
Fax Number :
Provider Business Practice Location Address
First Line : 404 KING SPRINGS VILLAGE PKWY SE
Second Line :
City : SMYRNA
State : GA
Zip : 30082-4240
Country : US
Telephone Number : 770-431-0816
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/02/2008
Last Update Date : 04/02/2008

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