Provision Physical Therapy, LLC
Provision Physical Therapy, LLC is a Sports Medicine (Physical Medicine & Rehabilitation) Physician in Fayetteville, Georgia. Licensed in Georgia. Registered with an NPI since 2017.
- Licensed in
- GA
- In the registry since
- 2017
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
105 Commerce Dr Ste BFayetteville, GA 30214-7352
Phone: (404) 692-1654
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Sports Medicine (Physical Medicine & Rehabilitation) Physician (primary) | Taxonomy 2081S0010X · Licence PT009550 (GA) |
|---|
Record details
| NPI number | 1144741976 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Venilla Barnes — Physical Therapist · (404) 692-1654 |
| NPI enumerated | July 1, 2017 |
| Last updated in NPPES | July 7, 2017 |
| Mailing address | 105 Commerce Dr Ste B, Fayetteville, GA 30214-7352 |