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NPI Code Detail

MEDICARE: APPALACHIAN REHABILITATION PROFESSIONALS, PC

MEDICARE: APPALACHIAN REHABILITATION PROFESSIONALS, PC
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
1208100000XPhysical Medicine & Rehabilitation Physician

General Provider Information

NPI Number : 1922114529
Entity Type Code : Organization
Provider Name (Legal Business Name) : APPALACHIAN REHABILITATION PROFESSIONALS, PC
Provider Business Mailing Address
First Line : 117 W SEVIER AVE STE 120
Second Line :
City : KINGSPORT
State : TN
Zip : 37660-3770
Country : US
Telephone Number : 423-392-8100
Fax Number : 423-392-8105
Provider Business Practice Location Address
First Line : 117 W SEVIER AVE
Second Line : STE 120
City : KINGSPORT
State : TN
Zip : 37660-3799
Country : US
Telephone Number : 423-392-8100
Fax Number : 423-392-8105
Authorized Official
Title or Position : BUSINESS MANAGER
Name : MRS. SUSAN W. MARSH
Credential :
Telephone Number : 423-392-8104
Provider Enumeration Date : 08/23/2006
Last Update Date : 11/13/2009

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