Individual
CHANDLER BEAR ECHOLS III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
902 E 67TH ST, SAVANNAH, GA 31405-4613
(912) 353-9378
Mailing address
455 MALL BLVD, SAVANNAH, GA 31406-4828
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA004583
GA
Other
Enumeration date
01/06/2021
Last updated
01/06/2021
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