Individual
CARISSA GRACE GILES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
428 S ENOTA DR NE, GAINESVILLE, GA 30501-2548
(678) 616-3099
Mailing address
1502 DAVENPORT RD, BRASELTON, GA 30517-2035
(706) 765-4325
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT018014
GA
Other
Enumeration date
09/16/2025
Last updated
09/16/2025
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