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NPI Code Detail

MEDICARE: COTTON EXCHANGE HEALTH AND REHAB

MEDICARE: COTTON EXCHANGE HEALTH AND REHAB
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
1111N00000XChiropractorCHIR002094GA

General Provider Information

NPI Number : 1134301633
Entity Type Code : Organization
Provider Name (Legal Business Name) : COTTON EXCHANGE HEALTH AND REHAB
Provider Business Mailing Address
First Line : 3155 ROSWELL RD NE STE 140
Second Line :
City : ATLANTA
State : GA
Zip : 30305-1836
Country : US
Telephone Number : 404-231-1000
Fax Number : 404-231-5546
Provider Business Practice Location Address
First Line : 3155 ROSWELL RD NE STE 140
Second Line :
City : ATLANTA
State : GA
Zip : 30305-1836
Country : US
Telephone Number : 404-231-1000
Fax Number : 404-231-5546
Authorized Official
Title or Position : DOCTOR OF CHIROPRACTIC
Name : DR. SIDNEY J BARNES-O'GORMAN
Credential : D.C.
Telephone Number : 404-231-1000
Provider Enumeration Date : 11/27/2007
Last Update Date : 03/20/2017

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Directions to “COTTON EXCHANGE HEALTH AND REHAB ” Practice Location

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