CHARLES MICHAEL CLEVENGER

HIRAM, GA
NPI1760850655
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: GA  PT012150)
Enumeration Date2015-09-09
Last Update Date2016-09-21
Business Address
-- CHARLES MICHAEL CLEVENGER PT
144 BILL CARRUTH PKWY SUITE 4700
HIRAM, GA 30141-3818
Phone number: 678-453-5717
Mailing Address
-- CHARLES MICHAEL CLEVENGER PT
5886 BROOKSTONE WALK NW
ACWORTH, GA 30101-8475
Phone number: 770-499-9118