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1003693029
ATHLETIC EDGE PERFORMANCE
GROVETOWN, GA
NPI
1003693029
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Entity Type
Organization
Authorized Contact
AUSTIN SHELNUTT
CEO
770-652-7477
Organization Subpart ?
No
Primary Taxonomy
261QP2000X Clinic/Center Physical Therapy
Enumeration Date
2023-09-12
Last Update Date
2023-09-12
Business Address
ATHLETIC EDGE PERFORMANCE
619 E ROBINSON AVE
GROVETOWN, GA 30813-2224
Phone number: 770-652-7477
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Mailing Address
ATHLETIC EDGE PERFORMANCE
4043 FIELDCREST DR
NORTH AUGUSTA, SC 29841-0145
Phone number: 770-652-7477
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