Provider Demographics
NPI:1669430195
Name:TWYMAN, ARGENTRIA M (DPT)
Entity type:Individual
Prefix:
First Name:ARGENTRIA
Middle Name:M
Last Name:TWYMAN
Suffix:
Gender:M
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3961 FLOYD RD
Mailing Address - Street 2:SUITE 160
Mailing Address - City:AUSTELL
Mailing Address - State:GA
Mailing Address - Zip Code:30106
Mailing Address - Country:US
Mailing Address - Phone:770-434-5111
Mailing Address - Fax:
Practice Address - Street 1:3961 FLOYD RD
Practice Address - Street 2:SUITE 160
Practice Address - City:AUSTELL
Practice Address - State:GA
Practice Address - Zip Code:30106-8535
Practice Address - Country:US
Practice Address - Phone:770-434-5111
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-03
Last Update Date:2017-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA7680225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA1285842799Medicare PIN
GA1669430195Medicare UPIN