Individual
NANCY BEAVERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
2280 HIGHWAY 29 N, NEWNAN, GA 30265-1031
(770) 683-6833
Mailing address
2280 HIGHWAY 29 N, NEWNAN, GA 30265-1031
(770) 683-6833
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA002049
GA
Other
Enumeration date
09/22/2015
Last updated
09/22/2015
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