Mr. Willie David Beavers III
Physical Therapist Physical Therapist - Geriatrics
549 Country Club Dr
Stockbridge
, Georgia 30281-6347
Mr. Willie David Beavers III
Physical Therapist Physical Therapist - Geriatrics
549 Country Club Dr
Stockbridge
, Georgia 30281-6347
(404) 438-7445
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About
Features
Specialties
- Physical Therapist
- Physical Therapist - Geriatrics
Languages spoken
- English
Location
First Address
- Mr. Willie David Beavers III
- 549 Country Club Dr
- Stockbridge, GA
- Zip : 30281-6347
- Phone : (404) 438-7445
Second Address
- Mr. Willie David Beavers III
- 549 Country Club Dr
- Stockbridge, GA
- Zip : 30281-6347
- Phone : (404) 438-7445
Reviews
FAQs
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What type of doctor is Mr. Willie David Beavers III
In what state does Mr. Willie David Beavers III practice in?
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Is Mr. Willie David Beavers III a sole practitioner?
Is Mr. Willie David Beavers III accepting new patients?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 225100000X | Physical Therapist | PT011076 | GA |
| Y | 2251G0304X | Physical Therapist - Geriatrics | PT011076 | GA |
National Provider Identifier
| NPI | 1336554955 |
|---|---|
| Provider Name | Mr. Willie David Beavers III |
| First Address | Stockbridge, GA 30281-6347 |
| Second Address | Stockbridge, GA 30281-6347 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 23/06/2014 |
| Last Update Date | 17/03/2018 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.