Individual
KLAYTIN MARCUS FANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
6768 HICKORY FLAT HWY STE 110, CANTON, GA 30115
(770) 721-5767
(770) 345-0158
Mailing address
6397 LEE HWY STE 300, CHATTANOOGA, TN 37421-2564
(423) 238-7217
(423) 362-8684
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT013630
GA
Other
Enumeration date
07/26/2018
Last updated
08/17/2018
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