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Lamont Jack, PTA
NPI 1154979193 · on the registry since 2019
Practice
- Address
- 3888 Lavista Rd
Tucker, GA 30084 - Phone
- (770) 938-5740
- Organisation at this address
- Briarwood Operating Company Llc
Briarwood Health Center By Harborview, LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 6
Registry record
- Primary taxonomy
- Physical Therapy Assistant
225200000X
- Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2019-09-03
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia