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Individual

MRS. JACQUELINE MAE MOYER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MPT

Contact information

Practice address
7950 MARTIN LOOP, #9200, FORT BENNING, GA 31905-5647
(706) 615-7161
Mailing address
5013 STONE PARK DR, COLUMBUS, GA 31909-9124
(706) 610-7704

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
008888
GA

Other

Enumeration date
01/08/2009
Last updated
01/08/2009
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