Individual
JOSHUA NATHANAEL JAMIAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
4025 JOHNS CREEK PKWY STE 100, SUWANEE, GA 30024-5683
(404) 575-4505
(678) 933-0472
Mailing address
3945 WOODRIDGE WAY, TUCKER, GA 30084-2159
(404) 234-6619
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT016976
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PT016976
GA STATE LICENSE
GA
Enumeration date
01/24/2024
Last updated
01/30/2024
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