Glover, Lee Hawkins

Glover, Lee Hawkins is an individual health care provider with primary practice located at 4523 Forsyth Rd , Macon GA 31210-4527. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant, which is considered as his primary health care specialty. Glover, Lee Hawkins can be contacted via phone (478) 254-7010.

Contact Information

Primary practice address
4523 Forsyth Rd Macon GA 31210-4527
Phone: (478) 254-7010
Fax: (478) 254-7012
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant 225200000X PTA002501 Georgia

Profile Details

NPI number 1437455078
LBN Legal business name Glover, Lee Hawkins
Credentials Physical Therapist Assistant (PTA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 30th, 2011
Last updated Jan 30th, 2011 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1437455078 NPPES
Georgia Other PTA002501 GEORGIA STATE LICENSE

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