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1700635281
TIMOTHY JEROME GROOM
SAVANNAH, GA
NPI
1700635281
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
Enumeration Date
2024-05-16
Last Update Date
2024-05-16
Business Address
TIMOTHY JEROME GROOM
2020 COLONIAL DR
SAVANNAH, GA 31406
Phone number: 912-354-2752
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Mailing Address
TIMOTHY JEROME GROOM
1501 STRATFORD ST # A
SAVANNAH, GA 31415-1845
Phone number: 912-661-9131
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