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1609595396
JOSHUA CHI TATUM
DALTON, GA
NPI
1609595396
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: GA PTA004928)
Enumeration Date
2022-08-25
Last Update Date
2022-08-25
Business Address
JOSHUA CHI TATUM PTA
1104 PROFESSIONAL BLVD
DALTON, GA 30720-2588
Phone number: 706-264-3098
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Mailing Address
JOSHUA CHI TATUM PTA
1645 PLEASANT GROVE DR NE
DALTON, GA 30721-8424
Phone number: 706-264-3098
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