Individual
JONATHAN W EBERWINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
9152 HIGHWAY 278 NE, COVINGTON, GA 30014-7010
(678) 342-9339
Mailing address
9152 HIGHWAY 278 NE, COVINGTON, GA 30014-7010
(678) 342-9339
(678) 342-9319
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
CP025689A
GA
Other
Enumeration date
12/20/2024
Last updated
12/20/2024
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