Individual
AARON CAUDELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
164 NURSING HOME CIR, BLAIRSVILLE, GA 30512-3117
(706) 745-4948
Mailing address
102 STILL RD, CLARKESVILLE, GA 30523-2913
(706) 969-0319
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA004522
GA
Other
Enumeration date
01/04/2021
Last updated
01/04/2021
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