Individual
ANDREW THOMAS MODI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
1111 LOWER FAYETTEVILLE RD STE 2000, NEWNAN, GA 30265-6506
(770) 251-7284
(770) 251-7295
Mailing address
1200 CORPORATE DR STE 400, BIRMINGHAM, AL 35242-5424
(423) 238-7217
(423) 238-3473
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT014674
GA
Other
Enumeration date
08/05/2020
Last updated
08/05/2020
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