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Individual
PAUL R. SHOWALTER
Active
Individual
PAUL R. SHOWALTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT007528
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
52005563
BCBS OF GA
GA
Enumeration date
07/11/2006
Last updated
09/25/2022
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