Individual
CORY BUICE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
3614 HIGHWAY 5, DOUGLASVILLE, GA 30135-2314
(770) 489-9332
Mailing address
3614 HIGHWAY 5, DOUGLASVILLE, GA 30135-2314
(770) 489-9332
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
010148
GA
Other
Enumeration date
01/24/2011
Last updated
01/24/2011
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