Individual
TIMOTHY CLEMMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
6298 VETERANS PKWY, STE 5A, COLUMBUS, GA 31909-6258
(706) 320-0927
(706) 321-8167
Mailing address
6298 VETERANS PKWY, STE 5A, COLUMBUS, GA 31909-6258
(706) 320-0927
(706) 321-8167
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
PT009320
GA
2251E1300X
Clinical Electrophysiology Physical Therapist
Primary
PT009320
GA
2251E1300X
Clinical Electrophysiology Physical Therapist
PTH6102
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PT009320
STATE OF GEORGIA PHYSICAL THERAPY BOARD
GA
01
—
PTH6102
ALABAMA BOARD OF PHYSICAL THERAPY
AL
Enumeration date
07/09/2008
Last updated
07/21/2022
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