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Individual

MR. DOUGLAS ANDREWS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PT

Contact information

Practice address
1061 HARMON AVE, FORT STEWART, GA 31314
(912) 435-6965
Mailing address
1061 HARMON AVE, FORT STEWART, GA 31314-5641
(912) 435-6965

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT007859
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
851220418A
GA
01
PT007859
PT LICENSE NUMBER
GA
Enumeration date
05/05/2006
Last updated
08/02/2018
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