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1720390610
JASON ALAN MARTIN
ACWORTH, GA
NPI
1720390610
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: GA PT009962)
Enumeration Date
2010-07-08
Last Update Date
2015-05-13
Business Address
-- JASON ALAN MARTIN DPT
3450 COBB PKWY NW STE 220
ACWORTH, GA 30101-8351
Phone number: 770-974-1978
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Mailing Address
-- JASON ALAN MARTIN DPT
8823 PRODUCTION LN
OOLTEWAH, TN 37363-6511
Phone number: 423-238-7217
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