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Individual

CARLY CEE WITT GESITE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS, PT, CNDT

Contact information

Practice address
11785 NORTHFALL LN STE 501&502, ALPHARETTA, GA 30009-7971
(770) 569-2274
(678) 899-6333
Mailing address
223 MILLSTONE PKWY, WOODSTOCK, GA 30188-6139
(404) 216-9620

Taxonomy

Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
PT008496
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
14654277
CAQH
Enumeration date
04/22/2020
Last updated
04/22/2020
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