MEDICARE: MEADOWS REGIONAL MEDICAL CENTER

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
1	261QP2000X	Physical Therapy Clinic/Center	PT 008984	GA

General Provider Information

NPI Number	:	1972729580
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MEADOWS REGIONAL MEDICAL CENTER

Provider Business Mailing Address
First Line	:	201 W. SUTTON ST
Second Line	:
City	:	MOUNT VERNON
State	:	GA
Zip	:	30445
Country	:	US
Telephone Number	:	912-583-4018
Fax Number	:

Provider Business Practice Location Address
First Line	:	201 W. SUTTON ST.
Second Line	:
City	:	MOUNT VERNON
State	:	GA
Zip	:	30445
Country	:	US
Telephone Number	:	912-583-4018
Fax Number	:

Authorized Official
Title or Position	:	PHYSICAL THERAPIST
Name	:	STEVEN GLEN POSEY
Credential	:	PT, CSCS
Telephone Number	:	912-277-2044

Provider Enumeration Date	:	04/18/2007
Last Update Date	:	12/18/2009

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