Individual
MATTHEW RICHMOND LAUDEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
1750 FOUNDERS PKWY STE 126, ALPHARETTA, GA 30009-7600
(770) 442-0727
(770) 343-9607
Mailing address
1750 FOUNDERS PKWY STE 126, ALPHARETTA, GA 30009-7600
(770) 442-0727
(770) 343-9607
Taxonomy
Speciality
Code
Description
License number
State
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
PT13513
GA
225100000X
Physical Therapist
Primary
PT13513
GA
Other
Enumeration date
08/07/2018
Last updated
04/08/2022
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