Individual
MRS. ALICIA LORAINE GREGG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
115 YELLOWSTONE LN, POWDER SPRINGS, GA 30127-6786
(678) 662-2643
Mailing address
115 YELLOWSTONE LN, POWDER SPRINGS, GA 30127-6786
(678) 662-2643
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
GA009879
GA
Other
Enumeration date
11/16/2012
Last updated
11/16/2012
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