Individual
BEVERLY E CARNAGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
301 E SCREVEN ST, QUITMAN, GA 31643-2131
(229) 263-6191
Mailing address
210 CHATHAM DR, THOMASVILLE, GA 31792-3709
(229) 289-2519
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
001730
GA
Other
Enumeration date
12/30/2018
Last updated
12/30/2018
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