Search › Georgia › 2255A2300X
Jeremy King, M.ED, LAT, ATC, ITAT
NPI 1164939849 · on the registry since 2018
Practice
- Address
- 360 Rebels Cir
Blue Ridge, GA 30513 - Phone
- (706) 455-5134
- Fax
- (706) 632-6552
Registry record
- Primary taxonomy
- 2255A2300X
2255A2300X
- Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2018-01-04
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