HAYWARD WHITE

RIVERDALE, GA
NPI1215278858
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: GA  PTA000054)
Enumeration Date2013-03-06
Last Update Date2013-03-06
Business Address
-- HAYWARD WHITE LPTA
315 UPPER RIVERDALE RD SW
RIVERDALE, GA 30274-2500
Phone number: 770-991-2636
Mailing Address
-- HAYWARD WHITE LPTA
318 YOUNG JAMES CIR
STOCKBRIDGE, GA 30281-1469
Phone number: 678-887-6644
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