Individual
GEORGIA J DENTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSPT, MTC
Contact information
Practice address
1515 JOHNSON FERRY RD STE 200, MARIETTA, GA 30062-6492
(470) 210-7222
Mailing address
1515 JOHNSON FERRY RD STE 200, MARIETTA, GA 30062-6492
(470) 210-7222
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT007629
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PT007629
STATE LISC NUMBER
GA
Enumeration date
11/07/2006
Last updated
11/08/2022
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