Individual
JONATHAN EIDMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
1000 PEACHTREE INDUSTRIAL BLVD STE 5, SUWANEE, GA 30024-1977
(678) 482-9695
Mailing address
1200 CORPORATE DR STE 400, HOOVER, AL 35242-5424
(866) 518-0283
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
PT013022
GA
225100000X
Physical Therapist
Primary
PT013022
GA
Other
Enumeration date
07/31/2017
Last updated
05/16/2024
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