Individual
MR. WILLIAM BROWN JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
3525 AUGUSTUS RD # 3188, AIKEN, SC 29801-2701
(803) 642-8376
Mailing address
559 JACKSON ST, GROVETOWN, GA 30813-3752
(706) 651-8167
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
1471
SC
225200000X
Physical Therapy Assistant
1574
GA
Other
Enumeration date
03/25/2007
Last updated
07/08/2007
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