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Individual

STEVE EARLES

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LMT

Contact information

Practice address
1514 PIEDMONT LAKE ROAD, PINE MOUNTAIN, GA 31822
(706) 663-4770
Mailing address
1514 PIEDMONT LAKE ROAD, PINE MOUNTAIN, GA 31822
(706) 663-4770

Taxonomy

Speciality
Code
Description
License number
State
2251S0007X
Sports Physical Therapist
225700000X
Massage Therapist
Primary
GAMT#000004
GA

Other

Enumeration date
01/26/2011
Last updated
01/26/2011
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