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Individual

GENIE E GRAVES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DPT

Contact information

Practice address
1107 GREER ST STE B, CORDELE, GA 31015-1921
(229) 273-9445
Mailing address
1107 GREER ST STE B, CORDELE, GA 31015-1921
(229) 273-9445

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT009933
GA

Other

Enumeration date
10/24/2010
Last updated
10/24/2010
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