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1659937761
MICHAEL TYRONE MACKIE
AUGUSTA, GA
NPI
1659937761
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: GA PTA000398)
Enumeration Date
2019-05-14
Last Update Date
2019-05-14
Business Address
MICHAEL TYRONE MACKIE LPTA
2541 WINTERVILLE DR
AUGUSTA, GA 30909-0623
Phone number: 706-231-7686
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Mailing Address
MICHAEL TYRONE MACKIE LPTA
2541 WINTERVILLE DR
AUGUSTA, GA 30909-0623
Phone number: 706-231-7686
Copy
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