Individual
CARLY WEST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2201 NEWNAN CROSSING BLVD E STE 100, NEWNAN, GA 30265-2551
(770) 460-4747
Mailing address
2201 NEWNAN CROSSING BLVD E STE 100, NEWNAN, GA 30265-2551
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA002817
GA
Other
Enumeration date
05/26/2023
Last updated
05/26/2023
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