Southern Wellness & Rehab

LBN: Southern Wellness & Rehab
Southern Wellness & Rehab is an health care organization with primary practice located at #2 Ed-Moore , Statesboro GA 30458. The organization recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as the primary health care specialty. Southern Wellness & Rehab can be contacted via phone (912) 764-9951, or through Smith, Arlene N via phone (912) 764-9951.

Contact Information

Primary practice address
#2 Ed-Moore Statesboro GA 30458
Phone: (912) 764-9951
Fax: (912) 489-4808
Website:
Map and Directions
Authorized official contact:
Name: Smith, Arlene N
Phone: (912) 764-9951

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X PT006880 Georgia

Profile Details

NPI number 1548313752
LBN Legal business name Southern Wellness & Rehab
DBA Doing business as
Authorized official Smith, Arlene N
Entity Organization
Organization subpart 1 No
Enumeration date Jan 19th, 2007
Last updated Jun 29th, 2011 - about 15 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1548313752 NPPES
Georgia Other 10052983 AMERIGROUP
Georgia MEDICAID 843784326A AMERIGROUP

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