Individual
JENNIFER SCARBOROUGH SLADE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
670 S 8TH ST, GRIFFIN, GA 30224-4214
(770) 229-6498
(770) 229-6958
Mailing address
PO BOX V, GRIFFIN, GA 30224-0047
(770) 229-6498
(770) 229-6958
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT007331
GA
Other
Enumeration date
10/17/2008
Last updated
10/17/2008
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