Individual
MRS. CARSON GIVENS PASS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
6135 ROOSEVELT HIGHWAY, WARM SPRINGS, GA 31830
(706) 655-5738
(706) 655-5742
Mailing address
20 FIFTH ST, NEWNAN, GA 30263-2744
(770) 254-1540
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
008619
GA
Other
Enumeration date
06/13/2006
Last updated
07/08/2007
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