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1174206189
JONATHAN CALEB FIELDS
ALPHARETTA, GA
NPI
1174206189
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: GA PT016712)
Enumeration Date
2023-08-08
Last Update Date
2023-08-08
Business Address
JONATHAN CALEB FIELDS
6225 ATLANTA HWY STE 110
ALPHARETTA, GA 30004-8799
Phone number: 770-530-7394
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Mailing Address
JONATHAN CALEB FIELDS
100 RIVERMONT LANE
DAHLONEGA, GA 30533
Phone number: 678-524-1404
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