Individual
ANDWELE M JOLLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
650 HENDERSON DR, CARTERSVILLE, GA 30120-3744
(678) 721-9922
(678) 721-7799
Mailing address
PO BOX 242278, MONTGOMERY, AL 36124-2278
(334) 396-2110
(334) 396-4905
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT008524
GA
Other
Enumeration date
11/15/2007
Last updated
11/15/2007
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