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Individual

NATHAN R CRAVER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PTA

Contact information

Practice address
11172 HIGHWAY 142 N, COVINGTON, GA 30014-2547
(678) 712-3692
(678) 712-3693
Mailing address
1200 CORPORATE DR STE 400, HOOVER, AL 35242-5424
(423) 238-7217
(423) 238-3473

Taxonomy

Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
PTA003434
GA
225200000X
Physical Therapy Assistant
Primary
PTA003434
GA

Other

Enumeration date
12/05/2017
Last updated
05/20/2021
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