Individual
MAURICE ZIVIAN MIDDLETON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.P.T.
Contact information
Practice address
1670 CLAIRMONT RD, DECATUR, GA 30033-4004
(678) 571-6081
Mailing address
1670 CLAIRMONT RD, DECATUR, GA 30033-4004
(678) 571-6081
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT011120
GA
Other
Enumeration date
11/18/2013
Last updated
11/18/2013
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