JARROD KANE FULGHUM

ATHENS, GA
NPI1811107378
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: GA  PTA002069)
Enumeration Date2007-05-23
Last Update Date2007-07-08
Business Address
-- JARROD KANE FULGHUM
1199 PRINCE AVE
ATHENS, GA 30606-2797
Phone number: 706-475-4663
Mailing Address
-- JARROD KANE FULGHUM
1600 NICKVILLE RD NW
DEWY ROSE, GA 30634-3100
Phone number: 706-296-5466
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