Individual
JAROD STACKPOLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1370 BUFORD HWY STE 108, CUMMING, GA 30041-2723
(770) 205-1669
Mailing address
1200 CORPORATE DR STE 400, HOOVER, AL 35242-5424
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT016723
GA
Other
Enumeration date
08/08/2023
Last updated
08/09/2023
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