Charles Michael Clevenger, PT

NPI #1760850655 in Hiram, Georgia

Provider Information

NPI Number
1760850655
Entity Type
Individual
Name
Charles Michael Clevenger, PT
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physical Therapist
Credential
PT
Enumeration Date
Sep 9, 2015
Last Updated
Sep 21, 2016

Practice Location

Address
144 BILL CARRUTH PKWY
Address 2
SUITE 4700
City
Hiram
State
Georgia
ZIP Code
30141-3818
Phone
(678) 453-5717

Specialties & Taxonomy Codes

Specialty
Physical Therapist

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