Provider Demographics
NPI:1841414968
Name:GAUDIO INC
Entity Type:Organization
Organization Name:GAUDIO INC
Other - Org Name:CHEROKEE PHYSIOTHERAPY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MARIA
Authorized Official - Middle Name:B
Authorized Official - Last Name:GAUDIO
Authorized Official - Suffix:
Authorized Official - Credentials:PT, CMDT
Authorized Official - Phone:770-924-3498
Mailing Address - Street 1:7914 HIGHWAY 92
Mailing Address - Street 2:STE 100
Mailing Address - City:WOODSTOCK
Mailing Address - State:GA
Mailing Address - Zip Code:30189
Mailing Address - Country:US
Mailing Address - Phone:770-924-3498
Mailing Address - Fax:770-924-3692
Practice Address - Street 1:7914 HIGHWAY 92
Practice Address - Street 2:STE 100
Practice Address - City:WOODSTOCK
Practice Address - State:GA
Practice Address - Zip Code:30189
Practice Address - Country:US
Practice Address - Phone:770-924-3498
Practice Address - Fax:770-924-3692
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-12
Last Update Date:2011-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA00844951AMedicaid
GA65PCNHQMedicare PIN
V04375Medicare UPIN