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NPI Code Detail

MEDICARE: JOHN W ABBOTT

MEDICARE: JOHN W ABBOTT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225200000XPhysical Therapy Assistant1528GA

General Provider Information

NPI Number : 1689141640
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOHN W ABBOTT
Provider Business Mailing Address
First Line : 416 BENEFIELD RD
Second Line :
City : CEDARTOWN
State : GA
Zip : 30125-5038
Country : US
Telephone Number : 706-331-1886
Fax Number :
Provider Business Practice Location Address
First Line : 225 S PHILPOT ST
Second Line :
City : CEDARTOWN
State : GA
Zip : 30125-3021
Country : US
Telephone Number : 770-748-4116
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/29/2018
Last Update Date : 10/29/2018

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Directions to “ JOHN W ABBOTT ” Practice Location

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