Organization
THERAPY SOUTH - WATKINSVILLE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DOUGLAS COLE (PRESIDENT)
(205) 745-3660
Entity
Organization
Contact information
Practice address
2053 EXPERIMENT STATION RD STE B, WATKINSVILLE, GA 30677-5326
(706) 770-5740
Mailing address
2823 GREYSTONE COMMERCIAL BLVD, HOOVER, AL 35242-2660
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
—
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
03/08/2024
Last updated
03/08/2024
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