Individual
ANDREW HAMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
1212 BROADRICK DR, DALTON, GA 30720-2503
(706) 270-8008
Mailing address
2212 RAINTREE WAY, DALTON, GA 30720-3234
(912) 777-2268
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA004380
GA
Other
Enumeration date
03/11/2022
Last updated
11/21/2024
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