Provider Demographics
NPI:1417145251
Name:ABNEY, JOHN LEONARD (OTR/L, MPA)
Entity Type:Individual
Prefix:MR
First Name:JOHN
Middle Name:LEONARD
Last Name:ABNEY
Suffix:
Gender:M
Credentials:OTR/L, MPA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6391 ROOSEVELT HWY
Mailing Address - Street 2:
Mailing Address - City:WARM SPRINGS
Mailing Address - State:GA
Mailing Address - Zip Code:31830-2281
Mailing Address - Country:US
Mailing Address - Phone:706-655-5304
Mailing Address - Fax:706-655-5299
Practice Address - Street 1:6391 ROOSEVELT HIGHWAY
Practice Address - Street 2:
Practice Address - City:WARM SPRINGS
Practice Address - State:GA
Practice Address - Zip Code:31830-0268
Practice Address - Country:US
Practice Address - Phone:706-655-5304
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-10-05
Last Update Date:2007-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA789283X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes283X00000XHospitalsRehabilitation Hospital