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Individual
MELVIN LEONARD WIMMER III
Active
Individual
MELVIN LEONARD WIMMER III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
9568
SC
225100000X
Physical Therapist
Primary
PT013399
GA
Other
Enumeration date
06/21/2018
Last updated
05/30/2019
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