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Organization
SOUTHWEST GEORGIA THERAPY, INC
Active
Organization
SOUTHWEST GEORGIA THERAPY, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM JENKINS JR. PT (PRESIDENT)
(229) 821-3892
Entity
Organization
Contact information
Practice address
1009 W FRANKLIN ST, SYLVESTER, GA 31791-7174
(229) 821-3892
(229) 821-3893
Mailing address
PO BOX 846, SYLVESTER, GA 31791-0846
(229) 821-3892
(229) 821-3893
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2447
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00812809A
—
GA
Enumeration date
12/27/2006
Last updated
01/18/2017
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