| Doctor Name: | MS. JAMIE MINER |
| NPI Number: | 1194926949 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PT |
| License Number: | PT002746 |
| Business Practice Address: | 1459 Montreal Rd Suite 207 Tucker, GA - 300846900 |
| Business Phone Number: | 7704912622 |
| Business Fax Number: | 6789905847 |
| Mailing Address: | 322 Wheat Berry Ct, GRAYSON |
| State: | GA |
| Postal Code: | 300174146 |
| Phone Number: | 6785211620 |
| Fax Number: | |
| NPI Enumeration Date: | 05/30/2007 |
| NPI Last Update Date: | 07/09/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | PT002746 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | GA |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |