Diane Renee Wilson (NPI# 1316241326, PAC ID# 7517141120) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICAL THERAPY.
| Nation Provider ID (NPI) | 1316241326 |
| PAC ID by PECOS | 7517141120 |
| Professional Enrollment ID | I20110406000267 |
| Full Name | Diane Renee Wilson |
| Organization Legal Name | PROACTIVE PHYSICAL THERAPY AND REHABILITATION LLC |
| Address |
2103 Reedale Ave Augusta GA 30906-3430 |
| Phone Number | 7064145058 |
| Gender | F |
| Medical School | MEDICAL COLLEGE OF GEORGIA |
| Graduation Year | 1989 |
| Primary Specialty | PHYSICAL THERAPY |
| Group Practice PAC ID | 3072797687 |
| Number of Group Practice Members | 5 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 2103 Reedale Ave, Augusta, GA 30906-3430 | 7064145058 | PROACTIVE PHYSICAL THERAPY AND REHABILITATION LLC |
| Organization Legal Name | PROACTIVE PHYSICAL THERAPY AND REHABILITATION LLC |
| Physicians | 7 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jennifer A Dufrene | Physical Therapy | Proactive Physical Therapy and Rehabilitation LLC | 2103 Reedale Ave, Augusta, GA 30906-3430 |
| Janet Duggan | Physical Therapy | Proactive Physical Therapy and Rehabilitation LLC | 2103 Reedale Ave, Augusta, GA 30906-3430 |
| Laura Kathleen Martin | Physical Therapy | Proactive Physical Therapy and Rehabilitation LLC | 2103 Reedale Ave, Augusta, GA 30906-3430 |
| Courtney Nash Oneal | Physical Therapy | Proactive Physical Therapy and Rehabilitation LLC | 2103 Reedale Ave, Augusta, GA 30906-3430 |
| Tracey Rogers | Physical Therapy | Proactive Physical Therapy and Rehabilitation LLC | 2103 Reedale Ave, Augusta, GA 30906-3430 |
| Lindsay Elaine Chambers | Physical Therapy | Proactive Physical Therapy and Rehabilitation LLC | 2103 Reedale Ave, Augusta, GA 30906-3430 |
| Street Address |
2103 REEDALE AVE |
| City | AUGUSTA |
| State | GA |
| Zip | 30906-3430 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jennifer A Dufrene | Physical Therapy | Proactive Physical Therapy and Rehabilitation LLC | 2103 Reedale Ave, Augusta, GA 30906-3430 |
| Janet Duggan | Physical Therapy | Proactive Physical Therapy and Rehabilitation LLC | 2103 Reedale Ave, Augusta, GA 30906-3430 |
| Laura Kathleen Martin | Physical Therapy | Proactive Physical Therapy and Rehabilitation LLC | 2103 Reedale Ave, Augusta, GA 30906-3430 |
| Courtney Nash Oneal | Physical Therapy | Proactive Physical Therapy and Rehabilitation LLC | 2103 Reedale Ave, Augusta, GA 30906-3430 |
| Tracey Rogers | Physical Therapy | Proactive Physical Therapy and Rehabilitation LLC | 2103 Reedale Ave, Augusta, GA 30906-3430 |
| Lindsay Elaine Chambers | Physical Therapy | Proactive Physical Therapy and Rehabilitation LLC | 2103 Reedale Ave, Augusta, GA 30906-3430 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sean T Lynch | Family Medicine | Southern Family Medical Center PC | 3736 Mike Padgett Hwy, Suite A, Augusta, GA 30906-0720 |
| James Patrick Walton | Family Medicine | Southern Family Medical Center PC | 3736 Mike Padgett Hwy, Suite A, Augusta, GA 30906-0720 |
| Lauren Cherie Daniels | Family Medicine | Southern Family Medical Center PC | 3736 Mike Padgett Hwy, Suite A, Augusta, GA 30906-0720 |
| Thomas Wieme | Physician Assistant | Southern Family Medical Center PC | 3736 Mike Padgett Hwy, Suite A, Augusta, GA 30906-0720 |
| Lynne Dunnington Peavey | Qualified Audiologist | 2021 Scott Rd, Augusta, GA 30906-2539 | |
| Scott E Sherman | Chiropractic | 3029 Deans Bridge Rd, Augusta, GA 30906-2921 | |
| Scott Pidcock | Chiropractic | 3028 Peach Orchard Rd, Augusta, GA 30906-3518 | |
| Lindsey Meagher | Nurse Practitioner | University Medical Group LLC | 3121 Peach Orchard Rd, Suite 103, Augusta, GA 30906-3531 |
| Renee Coughlin | Internal Medicine | University Medical Group LLC | 3121 Peach Orchard Rd, Suite 103, Augusta, GA 30906-3531 |
| Sheng Yi Wang | Internal Medicine | University Medical Group LLC | 3121 Peach Orchard Rd, Suite 103, Augusta, GA 30906-3531 |
| Find all physicians in zip 30906 | |||
| City | AUGUSTA |
| Zip Code | 30906 |
| Specialty | PHYSICAL THERAPY |
| City + Specialty | AUGUSTA + PHYSICAL THERAPY |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.