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Individual

JOHN T WILLIAMSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
P.T.

Contact information

Practice address
1600 FORSYTH ST, MACON, GA 31201-1408
(478) 743-3000
(478) 741-9657
Mailing address
1600 FORSYTH ST, MACON, GA 31201-1408
(478) 743-3000
(478) 741-9657

Taxonomy

Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
00753
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
P00275072
MEDICARE RAILROAD PTAN
Enumeration date
03/24/2006
Last updated
02/26/2008
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