Individual
TANNER MIDKIFF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
229 PEACHTREE HILLS AVE NE, ATLANTA, GA 30305-4411
(404) 467-4900
Mailing address
1029 WILLOW FIELD LN SE, MARIETTA, GA 30067-4008
(336) 420-7780
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
—
Other
Enumeration date
12/08/2020
Last updated
12/08/2020
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