Individual
TIMOTHY JEROME GROOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2020 COLONIAL DR, SAVANNAH, GA 31406
(912) 354-2752
Mailing address
1501 STRATFORD ST # A, SAVANNAH, GA 31415-1845
(912) 661-9131
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
—
Other
Enumeration date
05/16/2024
Last updated
05/16/2024
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