Dr DOMONIQUE SHANTAE BECKHAM is a female medical professional, specializing in Physical Therapy. She graduated in 2018.
INDEPENDENT PHYSICAL THERAPY OF GEORGIA, LLC
4510 NELSON BROGDON BLVD
SUGAR HILL
GA
305183478
Tel: 7709451045
| Npi | 1780152272 |
| Pac Id | 3678810587 |
| Professional Enrollment Id | I20190131001024 |
| Last Name | BECKHAM |
| First Name | DOMONIQUE |
| Middle Name | SHANTAE |
| Suffix | |
| Gender | F |
| Credential | |
| Medical School Name | OTHER |
| Graduation Year | 2018 |
| Primary Specialty | PHYSICAL THERAPY |
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| Organization Legal Name | INDEPENDENT PHYSICAL THERAPY OF GEORGIA, LLC |
| Group Practice Pac Id | 2961312244 |
| Number Of Group Practice Members | 349 |
| Line 1 Street Address | 4510 NELSON BROGDON BLVD |
| Line 2 Street Address | |
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| City | SUGAR HILL |
| State | GA |
| Zip Code | 305183478 |
| Phone Number | 7709451045 |
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| Professional Accepts Medicare Assignment | Y |
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