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Individual

MATTHEW TUCKER COPPAGE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DPT

Contact information

Practice address
11720 MEDLOCK BRIDGE RD STE 550, JOHNS CREEK, GA 30097-2505
(678) 364-7195
Mailing address
6397 LEE HWY STE 300, CHATTANOOGA, TN 37421-4915
(423) 238-8923

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT015892
GA

Other

Enumeration date
06/14/2022
Last updated
06/14/2022
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