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Individual

JODI LEE STONE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT

Contact information

Practice address
1332 S. ZACH HINTON PARKWAY, SUITE C, MCDONOUGH, GA 30253
(770) 898-5401
Mailing address
1039 BUCKHORN BND, LOCUST GROVE, GA 30248-3449
(678) 545-1859

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
PT 008563
LICENSE #
GA
Enumeration date
08/29/2006
Last updated
03/15/2011
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