Individual
DR. GABRIELLE MCCORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
40 PROFESSIONAL DR, JEFFERSON, GA 30549-6333
(706) 367-1142
Mailing address
232 EPPS BRIDGE RD UNIT 12H, ATHENS, GA 30606-8389
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
PT013104
GA
Other
Enumeration date
06/22/2017
Last updated
09/03/2020
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