Individual
JEFFREY B GIDDENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
1711 MARTHA BERRY BLVD NW, ROME, GA 30165-1623
(706) 528-4207
Mailing address
PO BOX 528, ROME, GA 30162-0528
(706) 638-3880
(706) 638-3890
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT006659
GA
225100000X
Physical Therapist
PTH5116
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000904648K
—
GA
01
—
P00853195
RR MEDICARE
GA
Enumeration date
06/22/2005
Last updated
12/15/2022
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