Individual
KEVIN POE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
205 HOMER RD, COMMERCE, GA 30529-3054
(706) 335-3816
(706) 335-3819
Mailing address
1660 WASHINGTON ST, JEFFERSON, GA 30549-2666
(706) 367-1898
(706) 367-1899
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
001950
GA
Other
Enumeration date
01/22/2024
Last updated
01/22/2024
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