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1972003408
JAMES CROCKETT
DOTHAN, AL
NPI
1972003408
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: AL PTH8791)
Enumeration Date
2018-02-21
Last Update Date
2021-01-29
Business Address
JAMES CROCKETT DPT
512 N SHADY LN
DOTHAN, AL 36303-2991
Phone number: 334-699-5747
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Mailing Address
JAMES CROCKETT DPT
PO BOX 370
FORTSON, GA 31808-0370
Phone number:
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