Individual
CLAY KIMBALL THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
735 HUMMINGBIRD CT, CLARKESVILLE, GA 30523-5198
(709) 754-4379
Mailing address
735 HUMMINGBIRD CT, CLARKESVILLE, GA 30523-5198
(709) 754-4379
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
PT005367
GA
Other
Enumeration date
10/01/2007
Last updated
10/01/2007
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