MEDICARE: GVL PELVIC HEALTH

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	261QP2000X	Physical Therapy Clinic/Center

General Provider Information

NPI Number	:	1346073616
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GVL PELVIC HEALTH

Provider Business Mailing Address
First Line	:	4436 WILD TURKEY WAY
Second Line	:
City	:	GAINESVILLE
State	:	GA
Zip	:	30506-3194
Country	:	US
Telephone Number	:	678-617-1606
Fax Number	:

Provider Business Practice Location Address
First Line	:	200 MAIN ST SW STE 302
Second Line	:
City	:	GAINESVILLE
State	:	GA
Zip	:	30501-3774
Country	:	US
Telephone Number	:	678-617-1606
Fax Number	:

Authorized Official
Title or Position	:	OWNER/PHYSICAL THERAPIST
Name	:	DR. LYDIA A GAILEY
Credential	:	DPT
Telephone Number	:	678-617-1606

Provider Enumeration Date	:	08/22/2024
Last Update Date	:	08/22/2024

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Directions to “GVL PELVIC HEALTH ” Practice Location

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