Individual
GINGER ROSE HARDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1157B WEST AVE SW, CONYERS, GA 30012-5280
(770) 922-2120
(770) 922-1096
Mailing address
PO BOX 8068, COLUMBUS, GA 31908-8068
(706) 320-5483
(063) 205-4837
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PTH10497
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PT016760
GA LICENSE
GA
Enumeration date
05/19/2022
Last updated
09/13/2023
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