Individual
MISS AMY MIDDLETON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
4795 FULTON INDUSTRIAL BLVD SW, ATLANTA, GA 30336-2000
(404) 267-5700
Mailing address
3329 KIMBERLY RD NW, KENNESAW, GA 30144-1131
(404) 281-1012
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
003303
GA
Other
Enumeration date
03/10/2015
Last updated
03/10/2015
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