Individual
LANDON PACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
1435 N EXPRESSWAY STE 201, GRIFFIN, GA 30223-1700
(770) 227-4049
Mailing address
1435 N EXPRESSWAY STE 201, GRIFFIN, GA 30223-1700
(770) 227-4049
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
009835
GA
225100000X
Physical Therapist
Primary
PT008467
GA
Other
Enumeration date
09/22/2009
Last updated
11/20/2009
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