Healthcare Provider Details

I. General information

NPI: 1992052849
Provider Name (Legal Business Name): CALIMAR, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/09/2012
Last Update Date: 08/09/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1079 BROOKS RD
SUMMERVILLE GA
30747-5517
US

IV. Provider business mailing address

1079 BROOKS RD
SUMMERVILLE GA
30747-5517
US

V. Phone/Fax

Practice location:
  • Phone: 706-895-2601
  • Fax:
Mailing address:
  • Phone: 706-895-2601
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QR0400X
TaxonomyRehabilitation Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. CAREN E STARMAN
Title or Position: PRESIDENT
Credential: PT, DPT,CKTP
Phone: 706-895-2601