Individual
JEFFREY B GIDDENS
Active
Individual
JEFFREY B GIDDENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
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
Update your record
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