Individual
GEORGE BRENT APPLEGATE
Active
Individual
GEORGE BRENT APPLEGATE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MPT
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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