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1952781759

NPI Code Detail

MEDICARE: ROOSEVELT WARM SPRINGS REHABILITATION & SPECIALTY HOSPITALS, INC

MEDICARE: ROOSEVELT WARM SPRINGS REHABILITATION & SPECIALTY HOSPITALS, INC

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	207Q00000X	Family Medicine Physician	059603	GA
2	207Q00000X	Family Medicine Physician	061328	GA
3	207Q00000X	Family Medicine Physician	034164	GA
4	207R00000X	Internal Medicine Physician	045791	GA
5	207R00000X	Internal Medicine Physician	036164	GA
6	207R00000X	Internal Medicine Physician	073402	GA
7	208100000X	Physical Medicine & Rehabilitation Physician	013142	GA
8	207R00000X	Internal Medicine Physician	047852	GA
9	207R00000X	Internal Medicine Physician	037166
10	208100000X	Physical Medicine & Rehabilitation Physician	048738	GA
11	208100000X	Physical Medicine & Rehabilitation Physician	026588	GA
12	208100000X	Physical Medicine & Rehabilitation Physician	009537	GA
13	208100000X	Physical Medicine & Rehabilitation Physician	070267	GA

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	202I087470	OTHER	GA	MEDICARE NUMBER
2	202I252544	OTHER	GA	MEDICARE NUMBER
3	202I501877	OTHER	GA	MEDICARE NUMBER
4	202I086305	OTHER	GA	MEDICARE NUMBER
5	2021726235	OTHER	GA	MEDICARE NUMBER
6	511I5200126	OTHER	GA	MEDICARE NUMBER
7	202I118135	OTHER	GA	MEDICARE NUMBER
8	202I56862	OTHER	GA	MEDICARE NUMBER
9	202I55969	OTHER	GA	MEDICARE NUMBER

General Provider Information

NPI Number	:	1952781759
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ROOSEVELT WARM SPRINGS REHABILITATION & SPECIALTY HOSPITALS, INC

Provider Business Mailing Address
First Line	:	6135 ROOSEVELT HWY
Second Line	:
City	:	WARM SPRINGS
State	:	GA
Zip	:	31830-2757
Country	:	US
Telephone Number	:	706-655-5461
Fax Number	:	706-644-5457

Provider Business Practice Location Address
First Line	:	6135 ROOSEVELT HWY
Second Line	:
City	:	WARM SPRINGS
State	:	GA
Zip	:	31830-2757
Country	:	US
Telephone Number	:	706-655-5461
Fax Number	:	706-644-5457

Authorized Official
Title or Position	:	SUPERVISOR
Name	:	CONNIE THOMPSON
Credential	:
Telephone Number	:	706-721-5505

Provider Enumeration Date	:	06/05/2015
Last Update Date	:	11/09/2022

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Directions to “ROOSEVELT WARM SPRINGS REHABILITATION & SPECIALTY HOSPITALS, INC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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