Individual
BAMBI J WOMACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
590 HISTORIC HIGHWAY 441, SUITE E, DEMOREST, GA 30535
(706) 754-6611
(706) 754-5834
Mailing address
8823 PRODUCTION LN, OOLTEWAH, TN 37363-6511
(423) 238-7217
(423) 238-3473
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT1093
GA
Other
Enumeration date
01/04/2007
Last updated
02/07/2011
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