TIMOTHY ERIC BLACKWELL

GREENSBORO, GA
NPI1982473419
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: GA  PTA001092)
Enumeration Date2023-12-26
Last Update Date2023-12-26
Business Address
TIMOTHY ERIC BLACKWELL PTA
1000 COWLES CLINIC WAY STE A-400
GREENSBORO, GA 30642-5289
Phone number: 706-549-1663
Mailing Address
TIMOTHY ERIC BLACKWELL PTA
1765 OLD WEST BROAD ST BLDG 2-200
ATHENS, GA 30606-2887
Phone number: 706-549-1663
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