DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. WILLIE DAVID BEAVERS III, PT, DPT, GCS

Active Sole Proprietor

MR. WILLIE DAVID BEAVERS III, PT, DPT, GCS is a Hand Therapy healthcare provider located in STOCKBRIDGE, Georgia. NPI 1336554955 is currently active in the NPPES registry. Verify at CMS.

Hand Therapy · STOCKBRIDGE, GA

Registration Details

NPI Number
1336554955
Provider Type
Individual
Gender
Male
NPI Issued
Jun 23, 2014 (12.152773042754 yrs)
Last Updated
Mar 17, 2018
Licenses
PT011076 (GA)
PT011076 (GA)
Sole Proprietor
Yes

Practice Information

Address
549 COUNTRY CLUB DR
STOCKBRIDGE, GA, 302816347
Browse GA providers · Browse ZIP 30281
Phone
4044387445
Primary Specialty
Hand Therapy
2251G0304X
Additional Specialty
Hand Therapy
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.