MICHAEL TYRONE MACKIE

AUGUSTA, GA
NPI1659937761
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: GA  PTA000398)
Enumeration Date2019-05-14
Last Update Date2019-05-14
Business Address
MICHAEL TYRONE MACKIE LPTA
2541 WINTERVILLE DR
AUGUSTA, GA 30909-0623
Phone number: 706-231-7686
Mailing Address
MICHAEL TYRONE MACKIE LPTA
2541 WINTERVILLE DR
AUGUSTA, GA 30909-0623
Phone number: 706-231-7686