EDWARD BOLT

ST SIMONS ISLAND, GA
NPI1215313630
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225100000X Physical Therapist
(Licence: GA  PT012047)
Enumeration Date2015-08-07
Last Update Date2018-01-30
Business Address
EDWARD BOLT
212 RETREAT VLG STE 212
ST SIMONS ISLAND, GA 31522-2403
Phone number: 912-638-1444
Mailing Address
EDWARD BOLT
PO BOX 949
ROME, GA 30162-0949
Phone number: 706-234-9317