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1669737771
JORDAN D MELLINGER
AUGUSTA, GA
NPI
1669737771
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: GA AT001719)
Enumeration Date
2012-07-05
Last Update Date
2024-06-10
Business Address
JORDAN D MELLINGER PT
1220 W WHEELER PKWY
AUGUSTA, GA 30909-6625
Phone number: 706-869-1515
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Mailing Address
JORDAN D MELLINGER PT
PO BOX 370
FORTSON, GA 31808-0370
Phone number: 706-494-3071
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