Individual provider · Type 1 NPI
Douglas Charles Imig, P.T.
Specialist · Athens, GA
NPI number
1063440352
Active
Practice location
700 Sunset Dr., Suite 301
Athens, GA 30606
Fax (706) 613-7434
Mailing address
PO Box 7124
Athens, GA 30604-7124
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | PT 002595 (GA) |
Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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About NPI 1063440352
Douglas Charles Imig, P.T.'s National Provider Identifier is 1063440352, issued on Jun 28, 2006. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Athens, GA. The record was last updated on Jul 8, 2007.