Jeffrey E Tardif, PT | |
11740 Columbia St, Blakely, GA 39823-2574 | |
(229) 723-4241 | |
Not Available |
Full Name | Jeffrey E Tardif |
---|---|
Gender | Male |
Speciality | Physical Therapist |
Location | 11740 Columbia St, Blakely, Georgia |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1245553304 | NPI | - | NPPES |
PT006635 | Other | GA | LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | PT006635 (Georgia) | Primary |
Mailing Address | Practice Location Address |
---|---|
Jeffrey E Tardif, PT 920 Cairo Rd, Reimbursement Department, Thomasville, GA 31792-4255 Ph: (229) 228-8800 | Jeffrey E Tardif, PT 11740 Columbia St, Blakely, GA 39823-2574 Ph: (229) 723-4241 |
Linda W Wallace, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 11740 Columbia St, Blakely, GA 39823 Phone: 229-724-4269 Fax: 229-723-2354 | |
Nicholas James Long, Physical Therapist Medicare: Medicare Enrolled Practice Location: 11740 Columbia St, Blakely, GA 39823 Phone: 229-723-2930 |