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1669130852
CANON TATE ROOKER
SANDY SPRINGS, GA
NPI
1669130852
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
Enumeration Date
2021-12-04
Last Update Date
2021-12-04
Business Address
CANON TATE ROOKER PA
1150 HAMMOND DR STE 400
SANDY SPRINGS, GA 30328-8617
Phone number: 404-256-2633
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Mailing Address
CANON TATE ROOKER PA
13153 OLD HICKORY BLVD APT 822
ANTIOCH, TN 37013-4984
Phone number: 912-312-2319
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