Individual
CORY MUNCILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1225 KNOX AVE, NORTH AUGUSTA, SC 29841-4022
(843) 800-8245
Mailing address
905 HUNTINGTON DR, AUGUSTA, GA 30909-4588
(770) 710-5692
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
08/09/2020
Last updated
08/09/2020
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