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JAMES EDWIN WALDROP PTA
>> Physical Therapy Assistant >> Respiratory, Developmental, Rehabilitative and Restorative Service ProvidersRegistrant NPI Number: 1184803272
Individual Registrant: JAMES EDWIN WALDROP PTA
Gender: M
Not Sole Proprietor
Gender: M
Not Sole Proprietor
Location and contact information for practice:
442 BREEDLOVE RD BALL GROUND, GA 30107-3663 US
Tel: 404-323-9001 Fax: --
Tel: 404-323-9001 Fax: --
Contact information for business:
442 BREEDLOVE RD BALL GROUND, GA 30107-3663 US
Tel: 404-323-9001 Fax: --
Tel: 404-323-9001 Fax: --
Registration Information:
NPI: 1184803272
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 225200000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers Physical Therapy Assistant | GA | 2316 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
