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Contact Information

FARLEY M GONZALES, PT
147 S TALLAHASSEE ST
HAZLEHURST, GA31539-6466
 Phone: 912-375-2009
 Fax: 912-379-0081
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physical Therapist

225100000X 65 Physical Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for FARLEY M GONZALES · (Male)

NPI Number 1013100304
Status Active
Credentials PT (Physical Therapist)
Entity Individual
Enumeration date 08/21/2007
Last updated 08/21/2007 - About 12 years ago
Sole proprietor 1 Yes
Identifiers
  • GA License # PT001640
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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