Individual
LAURA LYNN CHARLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
114 VICTORY DR, SWAINSBORO, GA 30401-3235
(478) 237-4017
(478) 237-3074
Mailing address
114 VICTORY DR, SWAINSBORO, GA 30401-3235
(423) 238-8907
(423) 362-8684
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT002497
GA
Other
Enumeration date
02/21/2008
Last updated
05/06/2021
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