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Organization

PINEVIEW PHYSICAL THERAPY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. AUDREY D JERNIGAN PT (PRESIDENT)
(912) 285-2361
Entity
Organization

Contact information

Practice address
301 PINEVIEW DR, WAYCROSS, GA 31501
(912) 285-2361
(912) 285-0571
Mailing address
301 PINEVIEW DR, WAYCROSS, GA 31501-5229
(912) 285-2361
(912) 285-0571

Taxonomy

Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
PT001243
GA

Other

Enumeration date
06/05/2008
Last updated
06/05/2008
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