Echols, Samuel Lee

Echols, Samuel Lee is an individual health care provider with primary practice located at 3478 Martha Berry Hwy Ne , Rome GA 30165-7713. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Echols, Samuel Lee can be contacted via phone (706) 204-8548.

Contact Information

Primary practice address
3478 Martha Berry Hwy Ne Rome GA 30165-7713
Phone: (706) 204-8548
Fax: (866) 858-7371
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X PT004801 Georgia

Profile Details

NPI number 1396741583
LBN Legal business name Echols, Samuel Lee
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 22nd, 2005
Last updated Jul 21st, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1396741583 NPPES
Georgia Other P00319887 RR MEDICARE
Georgia MEDICAID 000802645C,E,L,M,N,P RR MEDICARE
Georgia MEDICAID 000802645T,R,U,V,W,X RR MEDICARE

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