Provider Demographics
NPI:1205059748
Name:ADVANCED REHAB, LLC.
Entity type:Organization
Organization Name:ADVANCED REHAB, LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINIC DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:KRIS
Authorized Official - Middle Name:
Authorized Official - Last Name:FRANKENBERG
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:678-624-0000
Mailing Address - Street 1:5172 MCGINNIS FERRY RD
Mailing Address - Street 2:
Mailing Address - City:ALPHARETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30005-1792
Mailing Address - Country:US
Mailing Address - Phone:678-624-0000
Mailing Address - Fax:678-624-0002
Practice Address - Street 1:5172 MCGINNIS FERRY RD
Practice Address - Street 2:
Practice Address - City:ALPHARETTA
Practice Address - State:GA
Practice Address - Zip Code:30005-1792
Practice Address - Country:US
Practice Address - Phone:678-624-0000
Practice Address - Fax:678-624-0002
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-11
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA0551512081H0002X
GACHIR006744111NR0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered2081H0002XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationHospice and Palliative MedicineGroup - Multi-Specialty
Not Answered111NR0400XChiropractic ProvidersChiropractorRehabilitationGroup - Multi-Specialty