Individual
LILY AMMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
560 THORNTON RD STE 200, LITHIA SPRINGS, GA 30122-1656
(770) 739-5888
Mailing address
982 PEEL CASTLE LN, AUSTELL, GA 30106-1466
(678) 633-4255
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT016660
GA
Other
Enumeration date
07/11/2023
Last updated
07/11/2023
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