Individual
CHARLES THOMAS MEDLIN JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
160 DAVIS ESTATES RD, ATHENS, GA 30606-5008
(706) 549-1741
Mailing address
160 DAVIS ESTATES RD, ATHENS, GA 30606-5008
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA002974
GA
Other
Enumeration date
04/23/2015
Last updated
04/23/2015
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