Individual
CANON TATE ROOKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
1150 HAMMOND DR STE 400, SANDY SPRINGS, GA 30328-8617
(404) 256-2633
Mailing address
13153 OLD HICKORY BLVD APT 822, ANTIOCH, TN 37013-4984
(912) 312-2319
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
12/04/2021
Last updated
12/04/2021
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