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Gregory Izenour, PTA
NPI 1174268171 · on the registry since 2022 · sole proprietor
Practice
- Address
- 1483 Springleaf Cir Se
Smyrna, GA 30080 - Phone
- (404) 510-2927
Registry record
- Primary taxonomy
- 225200000X
225200000X
- Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2022-05-03
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