Individual
JEROME GAITHER II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT,DPT,MSSM
Contact information
Practice address
2900 DELK RD SE, MARIETTA, GA 30067-5320
(470) 632-1021
Mailing address
176 OAK RIDGE TRL, FAYETTEVILLE, GA 30214-3156
(678) 778-8212
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
PT017114
GA
Other
Enumeration date
05/31/2024
Last updated
05/31/2024
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