Individual
JEFFREY BLAKE PACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
4959 BILL GARDNER PKWY STE 109, LOCUST GROVE, GA 30248-2915
(770) 914-9285
Mailing address
6397 LEE HWY STE 300, CHATTANOOGA, TN 37421-4915
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT015456
GA
Other
Enumeration date
08/08/2021
Last updated
08/08/2021
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