Individual
TIMOTHY GAINT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
405 LAUREL ST, NASHVILLE, GA 31639-3030
(229) 494-9135
Mailing address
PO BOX 193, OAKFIELD, GA 31772-0193
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
001970
GA
Other
Enumeration date
11/13/2014
Last updated
11/13/2014
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