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1114657079
MATTHEW TUCKER COPPAGE
JOHNS CREEK, GA
NPI
1114657079
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: GA PT015892)
Enumeration Date
2022-06-14
Last Update Date
2022-06-14
Business Address
MATTHEW TUCKER COPPAGE DPT
11720 MEDLOCK BRIDGE RD STE 550
JOHNS CREEK, GA 30097-2505
Phone number: 678-364-7195
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Mailing Address
MATTHEW TUCKER COPPAGE DPT
6397 LEE HWY STE 300
CHATTANOOGA, TN 37421-4915
Phone number: 423-238-8923
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