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Organization
SPINE DYNAMICS PC
Active
Organization
SPINE DYNAMICS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KENNETH STUART COPES PT (PHYSICAL THERAPIST/OWNER)
(706) 543-2111
Entity
Organization
Contact information
Practice address
788 PRINCE AVE, SUITE C, ATHENS, GA 30606-5912
(706) 543-2111
(706) 543-2190
Mailing address
788 PRINCE AVE, SUITE C, ATHENS, GA 30606-5912
(706) 543-2111
(706) 543-2190
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT004796
GA
Other
Enumeration date
07/05/2007
Last updated
07/30/2013
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