JONATHAN SHAW

ACWORTH, GA
NPI1073709143
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: GA  PTH009094)
Enumeration Date2007-09-21
Last Update Date2008-06-30
Business Address
-- JONATHAN SHAW
3950 COBB PKWY NW SUITE 703
ACWORTH, GA 30101-9532
Phone number: 770-917-0924
Mailing Address
-- JONATHAN SHAW
PO BOX 242278
MONTGOMERY, AL 36124-2278
Phone number: 334-396-2110