Individual
JORDAN HUEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3615 BRASELTON HWY, 101, DACULA, GA 30019-5906
(770) 904-0772
Mailing address
4779 S ATLANTA RD SE, STE 200, ATLANTA, GA 30339-1565
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT011566
GA
Other
Enumeration date
08/11/2014
Last updated
07/27/2021
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