Individual
DUSTIN LEE WORKINGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT/DPT
Contact information
Practice address
101 SHEPHERD WAY, POOLER, GA 31322
(844) 877-6537
Mailing address
101 SHEPHERD WAY, POOLER, GA 31322
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT012116
GA
Other
Enumeration date
08/10/2018
Last updated
08/10/2018
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