Individual
CARL DEXTER CHU SANTOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6298 VETERANS PKWY, SUITE 5 A, COLUMBUS, GA 31909-6258
(706) 320-5461
Mailing address
139 AUTUMN LEAF DR, ALBANY, GA 31701-4799
(229) 434-4718
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT007838
GA
Other
Enumeration date
12/12/2006
Last updated
07/08/2007
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