Individual
MATTHEW ROLAND THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MPT
Contact information
Practice address
821 N COBB ST, MILLEDGEVILLE, GA 31061-2343
(478) 454-3640
Mailing address
707 WILLOW LAKE DRIVE, MILLEDGEVILLE, GA 31061
(478) 454-3640
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
8340
GA
Other
Enumeration date
04/17/2007
Last updated
07/08/2007
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