Individual
MR. PAUL EDWARD DESHANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
97 HEFNER ST STE 100, EAST ELLIJAY, GA 30540-8268
(706) 635-1440
Mailing address
390 LAIKEN DR, JASPER, GA 30143-8362
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA002769
GA
Other
Enumeration date
05/22/2026
Last updated
05/22/2026
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