Individual
BENJAMIN LANE SEAGRAVES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.P.T
Contact information
Practice address
2616 WARM SPRINGS RD STE B, COLUMBUS, GA 31904-5688
(706) 243-0016
(706) 243-0019
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
PT009971
GA
2255A2300X
Athletic Trainer
AT001411
GA
Other
Enumeration date
07/09/2010
Last updated
02/23/2012
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