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Individual

BARBARA MARVEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT

Contact information

Practice address
263 HIGHWAY 53 E, CALHOUN, GA 30701-3026
(706) 624-3000
(706) 624-3001
Mailing address
263 HIGHWAY 53 E, CALHOUN, GA 30701-3026
(706) 624-3000
(706) 624-3001

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT002558
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
10059788
AMERIGROUP
GA
01
317684
WELLCARE
GA
01
52448988003
BLUE CROSS/BLUE SHIELD
GA
Enumeration date
11/14/2006
Last updated
12/04/2007
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