Individual
DEVEREUX STULTZ MAYO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1821 CLIFTON RD, ATLANTA, GA 30329
(770) 728-4582
Mailing address
10055 TIMBERSTONE RD, ALPHARETTA, GA 30022-7514
(770) 475-0184
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
779
GA
Other
Enumeration date
04/12/2007
Last updated
07/08/2007
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