Individual
DAN DOLEMAN JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
2515 DOUBLE CHURCHES RD, COLUMBUS, GA 31909
(706) 660-1146
(706) 321-0130
Mailing address
P.O. BOX 12094, COLUMBUS, GA 31917-2094
(706) 321-0130
(706) 321-0130
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT 000353
GA
225100000X
Physical Therapist
PTH1281
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
330702
WELLCARE PROVIDER CMO
GA
01
—
52044621-003
BCBS PROVIDER
GA
Enumeration date
12/14/2006
Last updated
07/09/2007
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