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General NPI Number Information
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NPI Number | 1194642769
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Entity Type | Organization
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Legal Business Name | FLOURISH PHYSIATRY LLC
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Dates
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Enumeration Date | 07/02/2026
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Last Update Date | 07/02/2026
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Provider Practice Location Address
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Address Line | 2945 LOGANVILLE HWY
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City | LOGANVILLE
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State | GA
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Zip | 30052-2115
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Country | US
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Telephone | 678-656-7021
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Fax |
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Provider Business Mailing Address
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Address Line | 2483 HERITAGE VLG # 356
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City | SNELLVILLE
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State | GA
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Zip | 30078-6140
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Country | US
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Telephone | 678-656-7021
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Fax |
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Authorized Official
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Title or Position | MANAGING MEMBER
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Name | CHIAMAKA SONUBI
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Credential | MD
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Telephone | 678-656-7021
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number |
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License Number State |
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