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1609873454
SHAWN EDWARD HUMPHRIES
JACKSON, GA
NPI
1609873454
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: GA 5534)
Enumeration Date
2005-07-07
Last Update Date
2021-02-12
Business Address
SHAWN EDWARD HUMPHRIES mpt
252 STRICKLAND PASTURE RD
JACKSON, GA 30233-4019
Phone number: 706-329-5108
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Mailing Address
SHAWN EDWARD HUMPHRIES mpt
8052 ADELAIDE DR
COLUMBUS, GA 31909-8031
Phone number: 706-329-5108
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