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Individual

DR. JASON SUMMERS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PT, DPT

Contact information

Practice address
40 GREENWAY CT STE B&C, NEWNAN, GA 30265-2326
(770) 502-0195
Mailing address
40 GREENWAY CT STE B&C, NEWNAN, GA 30265-2326
(770) 502-0195

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
CP035365T
GA
225100000X
Physical Therapist
PTL.0016146
CO

Other

Enumeration date
01/07/2019
Last updated
10/15/2024
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