Provider Demographics
NPI:1770760423
Name:FIRST CHOICE MEDICAL AND REHABILITATION
Entity type:Organization
Organization Name:FIRST CHOICE MEDICAL AND REHABILITATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:MRS
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:D
Authorized Official - Last Name:STRICKLAND
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:770-251-4400
Mailing Address - Street 1:PO BOX 72855
Mailing Address - Street 2:197 JEFFERSON PARKWAY
Mailing Address - City:NEWNAN
Mailing Address - State:GA
Mailing Address - Zip Code:30271-2855
Mailing Address - Country:US
Mailing Address - Phone:770-251-4400
Mailing Address - Fax:770-253-9008
Practice Address - Street 1:197 JEFFERSON PARKWAY
Practice Address - Street 2:
Practice Address - City:NEWNAN
Practice Address - State:GA
Practice Address - Zip Code:30271
Practice Address - Country:US
Practice Address - Phone:770-251-4400
Practice Address - Fax:770-253-9008
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-24
Last Update Date:2008-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty