Individual
CHANDLER WINNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
55 E PAULDING DR STE 102, DALLAS, GA 30157-7192
(470) 648-2038
Mailing address
299 GREYSTONE CIR, HIRAM, GA 30141-3160
(678) 431-0577
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT017018
GA
Other
Enumeration date
02/23/2024
Last updated
02/23/2024
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