Individual
MATTHEW TYLER MERRITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
1000 TOWNE CENTER BLVD, SUITE 602, POOLER, GA 31322-4052
(912) 330-0155
Mailing address
2709 US HIGHWAY 17, SUITE 2A, RICHMOND HILL, GA 31324-3796
(912) 756-5699
(912) 756-5388
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
057359898
GA
Other
Enumeration date
07/15/2011
Last updated
07/15/2011
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