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1992362552
CHRISTOPHER MATTOCKS
SOCIAL CIRCLE, GA
NPI
1992362552
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: GA PTA003841)
Enumeration Date
2019-05-20
Last Update Date
2019-05-20
Business Address
CHRISTOPHER MATTOCKS
671 N CHEROKEE RD
SOCIAL CIRCLE, GA 30025-2886
Phone number: 770-464-2019
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Mailing Address
CHRISTOPHER MATTOCKS
PO BOX 81741
ATHENS, GA 30608-1741
Phone number:
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