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Individual

DODY DEAVOURS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT

Contact information

Practice address
7130 MOUNT ZION BLVD, SUITE 9, JONESBORO, GA 30236-2566
(770) 603-5660
(770) 603-6779
Mailing address
8823 PRODUCTION LN, OOLTEWAH, TN 37363-6511
(423) 238-7217
(423) 238-3473

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT008815
GA

Other

Enumeration date
11/06/2006
Last updated
05/14/2015
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