IndividualActive
Junghwan Bang, PHYSICAL THERAPIST
NPI 1811536246 · Clinical Electrophysiology Physical Therapist · Macon, GA
Provider details
- NPI number
- 1811536246
- Entity type
- Individual
- Primary specialty
- Clinical Electrophysiology Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- PHYSICAL THERAPIST
- Sex
- Male
- Sole proprietor
- No
- License
- PTH9576 (AL)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
100 N Macon St
Macon, GA 31210-6563
Phone: (478) 200-6970
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 370
Fortson, GA 31808-0370
Additional practice locations (2)
- 500 Hyundai BlvdMontgomery, AL 36105-9620Phone: (334) 387-8000
- 6019 Oleander Dr Ste 200Wilmington, NC 28403-4813Phone: (910) 790-9714Fax: (910) 791-1063
Registry dates
- Enumerated
- 2020-01-02
- Last updated
- 2026-03-10
- Certified
- 2026-03-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.