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NPI Verification

National Provider Identifier: 1609158096

Advanta Medical & Physical Therapy PC

Organization

Primary Specialty

General Practice

Code: 208D00000X

All Specialties (4)

Physical Therapist

Code: 225100000X

Chiropractor

Code: 111N00000X

Internal Medicine

Code: 207R00000X

General Practice

Code: 208D00000X

Primary

Practice Address

1720 POWERS FERRY RD

SUITE 100

MARIETTA, GA 300675442

Phone: 770-955-2225

NPI Enumeration Date

September 13, 2011

NPI Number

1609158096

Data sourced from the official CMS NPPES Registry. This information is provided by the Centers for Medicare & Medicaid Services and is updated regularly.

View on CMS NPPES Registry