Individual
ALBERT DELOACH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
420 NORTHSIDE DR, VALDOSTA, GA 31602-1802
(229) 333-8001
Mailing address
420 NORTHSIDE DR, VALDOSTA, GA 31602-1802
(229) 333-8001
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
03/07/2011
Last updated
04/08/2013
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