Individual
CODY GARLAND EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
2065 GRAYSON HWY STE B, GRAYSON, GA 30017-1766
(678) 376-0213
(678) 376-0215
Mailing address
6397 LEE HWY STE 300, CHATTANOOGA, TN 37421-2564
(423) 238-7217
(423) 362-8684
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA003409
GA
Other
Enumeration date
10/10/2017
Last updated
10/10/2017
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