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Individual
SHELBY B SWEAT
Active
Individual
SHELBY B SWEAT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT007577
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
007577
PT #
GA
01
—
20-1785232
TAX ID #
GA
Enumeration date
06/17/2006
Last updated
02/06/2012
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