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Individual

GREGORY CHARLES PANCAKE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PT, DPT

Contact information

Practice address
4446 WASHINGTON RD STE 8, EVANS, GA 30809-6361
(706) 869-3352
(706) 869-3299
Mailing address
1200 CORPORATE DR STE 400, HOOVER, AL 35242-5424
(423) 238-2717
(423) 238-3473

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
14739
NC
225100000X
Physical Therapist
Primary
PT014742
GA

Other

Enumeration date
03/24/2014
Last updated
02/05/2021
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