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Individual

LESLEY SHEELEY MAZICK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT, DPT, ATC

Contact information

Practice address
4319 HARTLEY BRIDGE RD STE 150, MACON, GA 31216-5866
(479) 333-5111
Mailing address
1200 CORPORATE DR STE 400, HOOVER, AL 35242-5424
(423) 238-7217

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
2021013332
MO
225100000X
Physical Therapist
Primary
PT014655
GA
2255A2300X
Athletic Trainer
AT003322
GA

Other

Enumeration date
05/29/2017
Last updated
02/19/2026
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