Individual
MOLLY BARNARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1009 W FRANKLIN ST, SYLVESTER, GA 31791-7174
(229) 821-3892
(229) 821-3893
Mailing address
1009 W FRANKLIN ST, SYLVESTER, GA 31791-7174
(229) 821-3892
(229) 821-3893
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA001823
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PTA001823
STATE LICENSE
GA
Enumeration date
02/13/2017
Last updated
02/13/2017
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