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Individual

HENRY CLAY HOLTON JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DPT, PT

Contact information

Practice address
1422 GREEN RD STE N, CHATSWORTH, GA 30705
(706) 695-9699
(706) 695-1623
Mailing address
PO BOX 949, ROME, GA 30162-0949
(706) 295-0081
(706) 295-0209

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT012556
GA

Other

Enumeration date
08/23/2016
Last updated
10/09/2019
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