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1871346155
WILLIAM BALKCOM
CANTON, GA
NPI
1871346155
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: GA PTA005181)
Enumeration Date
2024-04-08
Last Update Date
2024-04-08
Business Address
WILLIAM BALKCOM
3760 SIXES RD STE 130
CANTON, GA 30114-8196
Phone number: 470-863-6738
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Mailing Address
WILLIAM BALKCOM
2141 KEMP RD
MARIETTA, GA 30066-6727
Phone number: 404-216-2413
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