Individual
ELIZABETH EIDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
110 WOODFIELD DR, MACON, GA 31210-5625
(478) 475-7988
(478) 475-7974
Mailing address
3148 RIDGE AVE, MACON, GA 31204-2377
(404) 520-3790
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT015914
GA
Other
Enumeration date
06/02/2022
Last updated
06/03/2022
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