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Individual

CHARLES SEIDEL DWOZAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PT, DPT

Contact information

Practice address
689 HOSPITAL RD, COMMERCE, GA 30529-1146
(706) 335-9300
(706) 335-9301
Mailing address
8823 PRODUCTION LN, OOLTEWAH, TN 37363-6511
(423) 238-7217
(423) 362-8684

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT012330
GA

Other

Enumeration date
06/01/2016
Last updated
06/01/2016
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