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1184721177
TIMOTHY EUGENE MOORE
LAGRANGE, GA
NPI
1184721177
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: GA 005660)
Enumeration Date
2006-09-20
Last Update Date
2020-05-20
Business Address
Mr. TIMOTHY EUGENE MOORE PT
107 CALUMET CENTER RD
LAGRANGE, GA 30241-6705
Phone number: 706-884-3274
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Mailing Address
Mr. TIMOTHY EUGENE MOORE PT
PO BOX 370
FORTSON, GA 31808-0370
Phone number:
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