LONNIE R. HERGOTT

AUGUSTA, GA
NPI1366680852
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: GA  PT003346)
Enumeration Date2009-01-22
Last Update Date2009-01-22
Business Address
-- LONNIE R. HERGOTT MPT
1305 DANTIGNAC ST
AUGUSTA, GA 30901-2774
Phone number: 706-823-3807
Mailing Address
-- LONNIE R. HERGOTT MPT
1305 DANTIGNAC ST
AUGUSTA, GA 30901-2774
Phone number: 706-823-3807
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