Individual
KEION YEARWOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
10050 EAGLE DR, COVINGTON, GA 30014-3804
(678) 607-9810
Mailing address
35 COHUTTA DR, COVINGTON, GA 30014-7906
(718) 909-2710
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
010099
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000000
N/A
GA
Enumeration date
06/17/2019
Last updated
06/17/2019
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