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Individual
MR. WILLIAM J IVEY JR.
Active
Individual
MR. WILLIAM J IVEY JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5195
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5195
PT#
GA
Enumeration date
06/08/2006
Last updated
12/15/2021
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