Individual
MASON DWINNELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
550 PHARR RD NE STE 550, ATLANTA, GA 30305-3437
(404) 382-8702
Mailing address
1616 BRIARCLIFF RD NE APT 5, ATLANTA, GA 30306-2114
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
PT015902
GA
Other
Enumeration date
05/27/2022
Last updated
05/27/2022
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