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Individual

DR. ALLISON LEIGH NOGI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT, DPT

Contact information

Practice address
12 EXECUTIVE PARK DR NE, ATLANTA, GA 30329-2206
(404) 778-3444
Mailing address
2277 SCOTTS PKWY, MARIETTA, GA 30062-1751
(404) 630-2643

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
PT012546
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
PT012546
GEOGIA STATE BOARD OF PHYSICAL THERAPY
GA
Enumeration date
08/29/2016
Last updated
08/29/2016
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