Individual
AARON SMALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
550 PEACHTREE ST NE, SUITE 1760, ATLANTA, GA 30308-2208
(404) 367-2097
(678) 304-1396
Mailing address
550 PEACHTREE ST NE, SUITE 1760, ATLANTA, GA 30308-2208
(404) 367-2097
(678) 304-1396
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT007468
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
GA007468
STATE LISC NUMBER
GA
Enumeration date
11/08/2006
Last updated
11/22/2013
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