Provider Demographics
NPI:1790105435
Name:GEORGIA HEALTH AND REHABILITATION
Entity Type:Organization
Organization Name:GEORGIA HEALTH AND REHABILITATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERVISING DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:SALIH
Authorized Official - Middle Name:
Authorized Official - Last Name:BAAITH
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:770-892-1862
Mailing Address - Street 1:6223 JONESBORO RD
Mailing Address - Street 2:
Mailing Address - City:MORROW
Mailing Address - State:GA
Mailing Address - Zip Code:30260-1753
Mailing Address - Country:US
Mailing Address - Phone:404-503-6210
Mailing Address - Fax:770-892-1924
Practice Address - Street 1:6223 JONESBORO RD
Practice Address - Street 2:
Practice Address - City:MORROW
Practice Address - State:GA
Practice Address - Zip Code:30260-1753
Practice Address - Country:US
Practice Address - Phone:404-503-6210
Practice Address - Fax:770-892-1924
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-04-21
Last Update Date:2014-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty