Individual
DR. JADE AMBAY FAMILLEZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
5131 WARM SPRINGS RD, COLUMBUS, GA 31909-4196
(706) 561-1371
Mailing address
2816 INVERNESS PKWY, COLUMBUS, GA 31909-1915
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT010867
GA
Other
Enumeration date
07/10/2017
Last updated
07/10/2017
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