Individual
ELICIA MAHOLICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.P.T.
Contact information
Practice address
2001 HAMILTON RD, COLUMBUS, GA 31904-8935
(706) 321-9000
Mailing address
204 KODIAK TRL, FORTSON, GA 31808-4484
(706) 322-3116
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT007982
GA
Other
Enumeration date
10/24/2013
Last updated
10/24/2013
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