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Individual

MR. JASON T. MARCHANT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DPT, ATC

Contact information

Practice address
571 HAMMOCK ROAD SUITE 106, MILLEDGEVILLE, GA 31061-7185
(478) 452-6252
(478) 452-6255
Mailing address
571 HAMMOCK ROAD SUITE 106, MILLEDGEVILLE, GA 31061-7185
(478) 452-6252
(478) 452-6255

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT010696
GA
2255A2300X
Athletic Trainer
PT010696
GA

Other

Enumeration date
10/11/2012
Last updated
10/11/2012
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