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1659764298
JONATHAN R GILLIS
ACWORTH, GA
NPI
1659764298
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: GA PT011834)
Enumeration Date
2015-03-06
Last Update Date
2016-03-16
Business Address
-- JONATHAN R GILLIS DPT
4900 IVEY RD NW STE 1001
ACWORTH, GA 30101-4106
Phone number: 770-917-0924
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Mailing Address
-- JONATHAN R GILLIS DPT
80 TECHNACENTER DR SUITE 300
MONTGOMERY, AL 36117-6028
Phone number: 334-625-5795
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