Individual
JOHN ALAN WILLOUGHBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
106 ENTERPRISE CT STE C, COLUMBUS, GA 31904-9096
(706) 221-6448
Mailing address
80 BLACK OAK CT, CATAULA, GA 31804-2758
(706) 577-3140
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT016433
GA
Other
Enumeration date
02/02/2023
Last updated
02/02/2023
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