Individual
ENIS QUARDELL WOODS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
10955 JONES BRIDGE RD, SUITE 131, ALPHARETTA, GA 30022-8109
(770) 817-0197
(770) 817-0204
Mailing address
10955 JONES BRIDGE RD, SUITE 131, ALPHARETTA, GA 30022-8109
(770) 817-0197
(770) 817-0204
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
008228
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2279844
FIRST HEALTH
GA
01
—
9329177
PHCS
GA
Enumeration date
12/14/2006
Last updated
07/09/2007
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