PEACH STATE PROVIDERS GROUP INC
Physical Therapy at Southlake Pkwy, Morrow, GA

License number
Georgia 1741
Category
Restorative Service Providers
Type
Physical Therapist
Owner
Name: MRS. BRENDA R TALLEY RPT
Title: PHYSICAL THERAPIST
Phone: (770) 960-9979
Address
Address 2
7146 Southlake Pkwy, Morrow, GA 30260
146 Hawn Rd, Fayetteville, GA 30215
National Provider ID: 1629111802
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about PEACH STATE PROVIDERS GROUP INC at bizstanding.com

PEACH STATE PROVIDERS GROUP, INC

146 Hawn Rd, Fayetteville, GA 30215

Registration:
Jun 12, 1997
State ID:
K722463
Business type:
Domestic Profit Corporation
CEOs:
Romine Brenda Talley (CFO), 146 Hawn Rd, Fayetteville, GA 30215 (Physical),Lloyd John Talley (CEO), 146 Hawn Rd, Fayetteville, GA 30215 (Physical)
Agent:
John L. Talley,146 Hawn Rd, Fayetteville, GA (Physical)

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