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Individual

ASHTON GREGORY FANNIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PT, DPT

Contact information

Practice address
11490 ALPHARETTA HWY STE 200, ROSWELL, GA 30076-3866
(770) 740-8592
(770) 740-9478
Mailing address
6397 LEE HWY STE 300, CHATTANOOGA, TN 37421-2564
(423) 238-8907
(423) 362-8684

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
GA

Other

Enumeration date
06/29/2017
Last updated
06/29/2017
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