Hhsrc Neuromuscular

Primary specialty

Physical Disabilities Residential Treatment FacilityTaxonomy code 320700000X

License

MT002021 Issued in GA

Legal business name

HHSRC NEUROMUSCULAR

Practice address

5474 Oakley Industrial Blvd
Apt. 1032
Fairburn, GA 30213-4455

Phone

(678) 778-2109

Fax

(770) 774-4232

NPI assigned

Mar 31, 2015

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. John Meddling

Title

Owner/ Neuromuscular Therapist

Phone

(678) 778-2109

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1427760000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1427760000000",
    "number": "1285029884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5474 OAKLEY INDUSTRIAL BLVD",
            "address_2": "APT 1032",
            "city": "FAIRBURN",
            "state": "GA",
            "postal_code": "302134455",
            "telephone_number": "678-778-2109",
            "fax_number": "770-774-4232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5474 OAKLEY INDUSTRIAL BLVD",
            "address_2": "APT. 1032",
            "city": "FAIRBURN",
            "state": "GA",
            "postal_code": "302134455",
            "telephone_number": "678-778-2109",
            "fax_number": "770-774-4232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HHSRC NEUROMUSCULAR",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-31",
        "last_updated": "2015-03-31",
        "status": "A",
        "authorized_official_last_name": "MEDDLING",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "OWNER/ NEUROMUSCULAR THERAPIST",
        "authorized_official_telephone_number": "678-778-2109",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "320700000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Physical Disabilities",
            "state": "GA",
            "license": "MT002021",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physical Disabilities Residential Treatment Facility in Fairburn, GA
• Providers in Fairburn, GA by specialty
• Physical Disabilities Residential Treatment Facility in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.