Individual
JESSICA HEADRICK METCALF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
1422 GREEN RD STE N, CHATSWORTH, GA 30705-6999
(706) 695-1623
(706) 695-9699
Mailing address
1422 GREEN RD STE N, CHATSWORTH, GA 30705-6999
(706) 695-1623
(706) 695-9699
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT012513
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PT012513
PT LICENSE
GA
Enumeration date
08/10/2016
Last updated
06/18/2019
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