Deloach, Anna

Deloach, Anna is an individual health care provider with primary practice located at 202 W Park Ave , Valdosta GA 31602-2507. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Deloach, Anna can be contacted via phone (229) 253-8500.

Contact Information

Primary practice address
202 W Park Ave Valdosta GA 31602-2507
Phone: (229) 253-8500
Fax: (229) 253-8522
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 002693 Georgia

Profile Details

NPI number 1013061001
LBN Legal business name Deloach, Anna
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 23rd, 2007
Last updated Jul 8th, 2007 - about 19 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 1013061001 NPPES
Georgia Other 52592064 BLUE CROSS BLUE SHIELD

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