MEDICARE: MEDREHAB SPECIALISTS PA

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	208100000X	Physical Medicine & Rehabilitation Physician

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	DS1707	OTHER	GA	RAIL ROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1265710149
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MEDREHAB SPECIALISTS PA

Provider Business Mailing Address
First Line	:	303 PERIMETER CTR N
Second Line	:	SUITE 300
City	:	ATLANTA
State	:	GA
Zip	:	30346-3402
Country	:	US
Telephone Number	:	404-596-5599
Fax Number	:	888-508-2509

Provider Business Practice Location Address
First Line	:	303 PERIMETER CTR N
Second Line	:	SUITE 300
City	:	ATLANTA
State	:	GA
Zip	:	30346-3402
Country	:	US
Telephone Number	:	404-596-5599
Fax Number	:	888-508-2509

Authorized Official
Title or Position	:	OWNER
Name	:	ALBERTO MOREJON
Credential	:	D.O,
Telephone Number	:	404-596-5599

Provider Enumeration Date	:	07/27/2011
Last Update Date	:	06/21/2023

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Directions to “MEDREHAB SPECIALISTS PA ” Practice Location

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