Individual
MR. DAVID MARTIN LEVERETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
1001 VILLAGE PARK DR, SUITE 105, GREENSBORO, GA 30642-5100
(706) 454-2000
(706) 454-0806
Mailing address
628 HAMPTON, MONROE, GA 30655-2082
(770) 266-2836
(706) 454-0806
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT 6102
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PT6102
PHYSICAL THERAPIST
GA
Enumeration date
06/04/2007
Last updated
07/08/2007
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