Individual
MASON DEAN WORSHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
130 E BROAD ST, CAMILLA, GA 31730-1809
(229) 336-1115
(229) 336-1151
Mailing address
130 E BROAD ST, CAMILLA, GA 31730-1809
(229) 336-1115
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
GA
Other
Enumeration date
02/05/2017
Last updated
08/09/2022
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