Individual
DILLON JENNINGS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1004 BANKHEAD HWY, SUITE A5, CARROLLTON, GA 30117-1852
(770) 834-5609
Mailing address
10608 SERENBE LN, PALMETTO, GA 30268-2287
(405) 570-1523
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA003676
GA
Other
Enumeration date
10/20/2016
Last updated
10/20/2016
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