Individual
WILLIAM SHEALY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
654 WEDGEWOOD DR, WOODSTOCK, GA 30189-1505
(573) 429-0563
(770) 926-3256
Mailing address
654 WEDGEWOOD DR, WOODSTOCK, GA 30189-1505
(573) 429-0563
(770) 926-3256
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA002558
GA
Other
Enumeration date
11/14/2014
Last updated
11/14/2014
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