Provider Demographics
NPI:1467611129
Name:ACCELERATED RECOVERY CENTERS
Entity Type:Organization
Organization Name:ACCELERATED RECOVERY CENTERS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:NANCY
Authorized Official - Middle Name:
Authorized Official - Last Name:STEVENSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:770-988-9200
Mailing Address - Street 1:PO BOX 724973
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:31139
Mailing Address - Country:US
Mailing Address - Phone:770-988-9200
Mailing Address - Fax:770-988-9296
Practice Address - Street 1:1640 POWERS FERRY ROAD
Practice Address - Street 2:BUILDING 7 SUITE 300
Practice Address - City:MARIETTA
Practice Address - State:GA
Practice Address - Zip Code:30067
Practice Address - Country:US
Practice Address - Phone:770-988-9200
Practice Address - Fax:770-988-9296
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-06-06
Last Update Date:2009-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAGEORGIA031313207QA0401X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207QA0401XAllopathic & Osteopathic PhysiciansFamily MedicineAddiction MedicineGroup - Multi-Specialty