Provider Demographics
NPI:1356827869
Name:REHAB AND BEYOND, INC.
Entity type:Organization
Organization Name:REHAB AND BEYOND, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:STANFORD
Authorized Official - Middle Name:
Authorized Official - Last Name:MADDOX
Authorized Official - Suffix:
Authorized Official - Credentials:CHC
Authorized Official - Phone:770-899-6364
Mailing Address - Street 1:2250 OAK RD UNIT 815
Mailing Address - Street 2:
Mailing Address - City:SNELLVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30078-1905
Mailing Address - Country:US
Mailing Address - Phone:770-899-6364
Mailing Address - Fax:
Practice Address - Street 1:2197 YOUNG RD
Practice Address - Street 2:
Practice Address - City:STONE MOUNTAIN
Practice Address - State:GA
Practice Address - Zip Code:30088-4107
Practice Address - Country:US
Practice Address - Phone:770-899-6364
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-07-17
Last Update Date:2018-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationGroup - Single Specialty