Individual
MRS. KELLY R GRIMES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1203 N COLUMBIA DR, MILLEDGEVILLE, GA 31061-2395
(478) 452-6200
Mailing address
354 BARROWS FERRY RD NE, MILLEDGEVILLE, GA 31061-8423
(478) 251-2812
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT001507
GA
Other
Enumeration date
07/26/2008
Last updated
09/01/2010
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