Individual
COREY THOMAS GILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
1219 W SPRING ST, MONROE, GA 30655-1756
(770) 207-6624
(770) 207-6631
Mailing address
3455 HIGHWAY 81, LOGANVILLE, GA 30052-9138
(770) 554-0665
(770) 554-0685
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT011705
GA
Other
Enumeration date
02/17/2016
Last updated
02/17/2016
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