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Individual

CYNTHIA L SOUTH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PTA

Contact information

Practice address
1000 COWLES CLINC WAY, SUITE D-100, GREENSBORO, GA 30642-5285
(706) 454-1394
(706) 454-1397
Mailing address
PO BOX 949, ROME, GA 30162-0949
(706) 236-2774
(706) 236-2783

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA002979
GA

Other

Enumeration date
07/27/2012
Last updated
07/27/2012
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