Individual
ABIGAIL LILLA WALTERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
382 RACETRACK RD, MCDONOUGH, GA 30252-1022
(678) 205-5437
Mailing address
897 JOHNSTONVILLE RD, BARNESVILLE, GA 30204-3313
(770) 680-6421
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT016800
GA
Other
Enumeration date
08/24/2023
Last updated
08/24/2023
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