Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Gary E Woodham, PT

Individual provider Physical Therapist · NPI 1083783328

Gary E Woodham, PT is a Physical Therapist in Conyers, Georgia. Licensed in Georgia. Registered with an NPI since 2006.

Licensed in
GA
In the registry since
2006
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

1603 Highway 20 NE Ste 201
Conyers, GA 30012-3736
Phone: (770) 929-8411
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence GA007821 (GA)

Record details

NPI number1083783328
Entity typeIndividual (Type 1)
GenderMale
Credentials PT
Sole proprietorNo
NPI enumeratedNovember 8, 2006
Last updated in NPPESJuly 8, 2007
Mailing addressPo Box 518, Jonesboro, GA 30237-0518

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