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General NPI Number Information
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NPI Number | 1366450710
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Entity Type | Organization
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Legal Business Name | CENTRAL GEORGIA REHABILITATION
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Dates
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Enumeration Date | 08/03/2006
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Last Update Date | 09/29/2025
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Provider Practice Location Address
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Address Line | 3351 NORTHSIDE DR
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City | MACON
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State | GA
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Zip | 31210
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Country | US
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Telephone | 478-201-6500
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Fax | 478-757-0835
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Provider Business Mailing Address
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Address Line | 3351 NORTHSIDE DR
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City | MACON
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State | GA
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Zip | 31210-2587
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Country | US
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Telephone | 478-201-6500
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Fax | 478-757-0835
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Authorized Official
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Title or Position | CFO
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Name | PHILIP WHEELER
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Credential |
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Telephone | 706-509-3012
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 283X00000X
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Taxonomy Name | Rehabilitation Hospital
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License Number | 011-561
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License Number State | GA
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