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1215313630
EDWARD BOLT
ST SIMONS ISLAND, GA
NPI
1215313630
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: GA PT012047)
Enumeration Date
2015-08-07
Last Update Date
2018-01-30
Business Address
EDWARD BOLT
212 RETREAT VLG STE 212
ST SIMONS ISLAND, GA 31522-2403
Phone number: 912-638-1444
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Mailing Address
EDWARD BOLT
PO BOX 949
ROME, GA 30162-0949
Phone number: 706-234-9317
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