Provider Demographics
NPI:1700811320
Name:DUBLIN PHYSICAL MEDICINE AND REHABILITATION ASSOC PC
Entity Type:Organization
Organization Name:DUBLIN PHYSICAL MEDICINE AND REHABILITATION ASSOC PC
Other - Org Name:NEUROLOGICAL INSTITUTE OF DUBLIN
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:T
Authorized Official - Last Name:HARDMAN
Authorized Official - Suffix:III
Authorized Official - Credentials:MD
Authorized Official - Phone:478-272-5555
Mailing Address - Street 1:2406 BELLEVUE ROAD
Mailing Address - Street 2:14 ERIN OFFICE PARK
Mailing Address - City:DUBLIN
Mailing Address - State:GA
Mailing Address - Zip Code:31021
Mailing Address - Country:US
Mailing Address - Phone:478-272-5555
Mailing Address - Fax:478-272-5540
Practice Address - Street 1:2406 BELLEVUE ROAD
Practice Address - Street 2:14 ERIN OFFICE PARK
Practice Address - City:DUBLIN
Practice Address - State:GA
Practice Address - Zip Code:31021
Practice Address - Country:US
Practice Address - Phone:478-272-5555
Practice Address - Fax:478-272-5540
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-12
Last Update Date:2011-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationGroup - Single Specialty