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Individual

CAMILLE FRANNCINE BOLTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DPT

Contact information

Practice address
500 FLOY FARR PARKWAY, SUITE 303, FAYETTEVILLE, GA 30214
(404) 539-0337
Mailing address
220 DEVILLA CT, ATLANTA, GA 30349-4027
(404) 539-0337

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PTO14539
GA

Other

Enumeration date
06/23/2020
Last updated
06/23/2020
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