Individual
JESSICA ANN GILES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPT
Contact information
Practice address
1565 MOUNTCLAIRE DR, CUMMING, GA 30041-9525
(678) 513-7434
(678) 513-2192
Mailing address
1565 MOUNTCLAIRE DR, CUMMING, GA 30041-9525
(678) 513-7434
(678) 513-2192
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT006695
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000859053E
—
GA
Enumeration date
11/30/2006
Last updated
01/19/2022
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