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JOSHUA CHI TATUM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PTA

Contact information

Practice address
1104 PROFESSIONAL BLVD, DALTON, GA 30720-2588
(706) 264-3098
Mailing address
1645 PLEASANT GROVE DR NE, DALTON, GA 30721-8424
(706) 264-3098

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA004928
GA

Other

Enumeration date
08/25/2022
Last updated
08/25/2022
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