Individual
CHANDLER BROOKS COLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2300 LIAM AVE STE 104, DACULA, GA 30019-2265
(470) 294-0052
Mailing address
6034 TRUMPET FLOWER AVE, FLOWERY BRANCH, GA 30542-3312
(678) 925-8829
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT015471
GA
Other
Enumeration date
08/11/2021
Last updated
08/11/2021
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