MEDICARE: DAVID MESNICK PT

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	225100000X	Physical Therapist	006388	GA

General Provider Information

NPI Number	:	1972631919
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DAVID MESNICK PT

Provider Business Mailing Address
First Line	:	5400 LAUREL SPRINGS PKWY
Second Line	:	BUILDING 1400, SUITE 1401
City	:	SUWANEE
State	:	GA
Zip	:	30024-6056
Country	:	US
Telephone Number	:	770-225-8860
Fax Number	:	844-965-9428

Provider Business Practice Location Address
First Line	:	5400 LAUREL SPRINGS PKWY
Second Line	:	BUILDING 1400, SUITE 1401
City	:	SUWANEE
State	:	GA
Zip	:	30024-6056
Country	:	US
Telephone Number	:	770-225-8860
Fax Number	:	844-965-9428

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/01/2007
Last Update Date	:	11/13/2015

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Directions to “ DAVID MESNICK PT” Practice Location

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