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1265152912
DERRICK NELSON
NEWNAN, GA
NPI
1265152912
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: GA PTA000833)
Enumeration Date
2022-09-01
Last Update Date
2022-09-01
Business Address
DERRICK NELSON
1755 HIGHWAY 34 E STE 1300
NEWNAN, GA 30265-3186
Phone number: 770-254-7850
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Mailing Address
DERRICK NELSON
1755 HIGHWAY 34 E STE 1300
NEWNAN, GA 30265-3186
Phone number: 770-254-7850
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