Individual
GEORGE BRENT APPLEGATE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MPT
Contact information
Practice address
4371 POWERS FERRY RD, ATLANTA, GA 30327-3420
(678) 984-7774
(888) 551-6210
Mailing address
316 S WASHINGTON AVE, FORT COLLINS, CO 80521-2559
(678) 984-7774
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT007063
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
148541482B
—
GA
01
—
52704274
BCBS OF GA PROVIDER ID
GA
Enumeration date
03/16/2007
Last updated
12/29/2016
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