Individual
DR. MARK EVAN OGLETREE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
1615 RIDENOUR BLVD NW STE 204, KENNESAW, GA 30152-4464
(770) 580-8070
Mailing address
1750 SHILOH RD NW APT 810, KENNESAW, GA 30144-6465
(770) 823-9638
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT016544
GA
Other
Enumeration date
05/24/2023
Last updated
05/24/2023
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