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1477788008
CHARLIE D RIDGEWAY
ATLANTA, GA
NPI
1477788008
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: GA 6601)
Enumeration Date
2009-05-27
Last Update Date
2009-05-27
Business Address
-- CHARLIE D RIDGEWAY PT
150 BOBBY DODD WAY
ATLANTA, GA 30332-0001
Phone number: 404-385-4115
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Mailing Address
-- CHARLIE D RIDGEWAY PT
150 BOBBY DODD WAY
ATLANTA, GA 30332-0001
Phone number: 404-385-4115
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