Individual
ALIX C GANTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
211 BOBBY JONES EXPY, STE C, MARTINEZ, GA 30907-5250
(706) 860-3355
(706) 860-8765
Mailing address
5242 WINDMILL PL, EVANS, GA 30809-6788
(706) 945-0316
(706) 860-8765
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT003974
GA
Other
Enumeration date
03/27/2013
Last updated
03/27/2013
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