Gary E Woodham PT

NPI 1083783328 - Physical Therapist - 225100000X

NPI Details
NPI 1083783328
Gender Male
Enumeration Date 11/08/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
1603 HIGHWAY 20 NE
SUITE 201
CONYERS GA, 30012-3736, US
Phone (770) 929-8411
Fax
Business Location
PO BOX 518
JONESBORO GA, 30237-0518, US
Phone (770) 631-8277
Fax (770) 631-9403
Toxanomy
Taxonomy Code 225100000X
License State Georgia
License Number GA007821
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According to our database, Gary E Woodham PT NPI is 1083783328, taxonomy code is 225100000X and license number is GA007821, license state is located at Georgia. Gary E Woodham PT physically located at 1603 Highway 20 Ne, Conyers GA, 30012-3736. NPI Number Gary E Woodham PT has the Individual type.

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1083783328 NPI number is provided on an as is basis without warranty of any kind. 1083783328 is maintained by the National Plan & Provider Enumeration System. The contents of Gary E Woodham PT are for informational purposes only.