Individual
JOHN CHMIELEWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1265 HIGHWAY 54 W, SUITES 102 AND 308, FAYETTEVILLE, GA 30214-4548
(770) 460-1900
(770) 719-1214
Mailing address
900 CIRCLE 75 PKWY SE, SUITE 1700, ATLANTA, GA 30339-3035
(770) 953-6929
(770) 953-6972
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
007963
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
007963
PHYSICAL THERAPIST
CT
Enumeration date
12/20/2006
Last updated
06/10/2014
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