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1922154418
CHARLES MONTGOMERY HENDERSON
BRUNSWICK, GA
NPI
1922154418
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: GA PT008435)
Enumeration Date
2007-01-26
Last Update Date
2007-07-08
Business Address
Mr. CHARLES MONTGOMERY HENDERSON PT
1111 GLYNCO PKWY STE 110
BRUNSWICK, GA 31525-7922
Phone number: 912-264-5377
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Mailing Address
Mr. CHARLES MONTGOMERY HENDERSON PT
239 WELLINGTON PL
BRUNSWICK, GA 31523-7075
Phone number: 912-262-6650
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