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Search › Georgia › 225200000X

Justin Sorensen, PTA

NPI 1538846829 · on the registry since 2023 · sole proprietor

Practice

Address
2463 Hamilton Mill Pkwy
Dacula, GA 30019
Phone
(770) 932-9521
Organisation at this address
Publix Super Markets Inc
Cornerstone Dentsitry; Pc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
19

Registry record

Primary taxonomy
225200000X
225200000X
Licence states on file
UT
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2023-06-29

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