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Individual

FRITZIE SUMALO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
100 HAMILTON POINTE DRIVE, STE 115, BYRON, GA 31008
(478) 956-4916
(478) 956-0958
Mailing address
PO BOX 1552, BYRON, GA 31008-1552
(478) 956-4916
(478) 956-0958

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT009921
GA

Other

Enumeration date
02/17/2016
Last updated
02/17/2016
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