Individual
CHANDLER KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3044 DUE WEST RD, DALLAS, GA 30157-2125
(770) 443-9672
Mailing address
3044 DUE WEST RD, DALLAS, GA 30157-2125
(770) 443-9672
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT014350
GA
Other
Enumeration date
09/20/2019
Last updated
05/28/2020
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