Individual
JOHN NETTLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3725 WHEELER RD, AUGUSTA, GA 30909-6623
(706) 651-1211
Mailing address
5111 WINDMILL PL, EVANS, GA 30809-6606
(706) 955-6257
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT005839
GA
Other
Enumeration date
07/01/2019
Last updated
07/01/2019
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