Adel Abdedhamid Abuelazm Sr.
Individual provider Active NPI Physical Therapist · Savannah, GA
NPI 1043044357 · NPPES record last updated Nov 6, 2024
Key facts
- NPI
- 1043044357
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- PT004236
- Practice address
- 1326 Eisenhower Dr BLDG 1
Savannah, GA 31406-3928 - Phone
- (912) 691-3600
- NPI assigned
- Aug 28, 2024
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT004236 | Yes |
Addresses
Primary practice location
1326 Eisenhower Dr BLDG 1
Savannah, GA 31406-3928
Mailing address
1326 Eisenhower Dr
Savannah, GA 31406-3928
Phone (912) 691-3600
Other names
- Adel Azm Dagher
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All providers in Savannah, GA · Physical Therapist in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 6, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.