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

BENJAMIN CLARK STOVALL, PT

Active Sole Proprietor

BENJAMIN CLARK STOVALL, PT is a Physical Therapy Assistant healthcare provider located in WAYCROSS, Georgia. NPI 1730721655 is currently active in the NPPES registry. Verify at CMS.

Physical Therapy Assistant · WAYCROSS, GA

Registration Details

NPI Number
1730721655
Provider Type
Individual
Gender
Male
NPI Issued
Oct 11, 2019 (6.8466659601484 yrs)
Last Updated
Oct 11, 2019
License
4467 (GA)
Sole Proprietor
Yes

Practice Information

Address
2003 ALICE ST STE A
WAYCROSS, GA, 315016209
Browse GA providers · Browse ZIP 31501
Phone
9122850053
Primary Specialty
Physical Therapy Assistant
225100000X

Other Physical Therapy Assistant Providers in WAYCROSS, GA

Name Credential NPI
WALTER LEE BISHOP PT 1609813229
HAZEL BLAYLOCK-LAWSON PT 1043235617
SARAH DAVIDSON PT 1962512889
MRS. AUDREY D. JERNIGAN 1245363688
MR. PHILIP M SUESS III PT 1760507107
ALEX T BELL P.T. 1649679747
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.