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Individual

KELLER WILLIAMS GALPIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
1500 E SHOTWELL ST, BAINBRIDGE, GA 39819-4256
(229) 243-8124
(229) 243-7471
Mailing address
1500 E SHOTWELL ST, BAINBRIDGE, GA 39819-4256
(229) 243-8124
(229) 243-7471

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT012486
GA

Other

Enumeration date
05/17/2017
Last updated
07/21/2022
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