Individual
MARY ELIZABETH WAKEFIELD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT,DPT
Contact information
Practice address
2403 BATTLEFIELD PARKWAY, FORT OGLETHORPE, GA 30742
(706) 866-7700
Mailing address
403 DAVIDSON DR, DALTON, GA 30720
(706) 934-0651
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
012447
GA
225100000X
Physical Therapist
PT102447
GA
Other
Enumeration date
09/01/2016
Last updated
09/15/2023
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