South Georgia Therapy Services, P.c.
NPI #1104080266 in Glennville, Georgia
Provider Information
- NPI Number
- 1104080266
- Entity Type
- Organization
- Organization Name
- South Georgia Therapy Services, P.c.
- Primary Specialty
- Physical Therapist
- Enumeration Date
- Jul 17, 2008
- Last Updated
- Jul 29, 2008
Practice Location
- Address
- 104 W RUSTIN ST
- City
- Glennville
- State
- Georgia
- ZIP Code
- 30427-1805
- Phone
- (912) 654-2385
Authorized Official
- Name
- MR. KENNETH LANE DURRENCE, P.T.
- Title
- OWNER/P.T.
- Phone
- (912) 654-2385
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapist |
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