Individual
MRS. GINGER DALE ELKIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
2700 N OAK ST, SUITE A, VALDOSTA, GA 31602-1772
(229) 249-9600
(229) 249-9976
Mailing address
316 BULLARD RD, ADEL, GA 31620-6359
(229) 896-7040
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA001585
GA
Other
Enumeration date
06/26/2007
Last updated
07/08/2007
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