Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251X0800X | Physical Therapist - Orthopedic | PT009428 | GA |
NPI | 1043466956 |
---|---|
Provider Name | Bret Harrison Joiner |
First Address | Athens, GA 30606-2460 |
Second Address | Athens, GA 30606-6030 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 12/08/2008 |
Last Update Date | 23/04/2014 |