Individual
MARCUS LOCKETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5835 CAMPBELLTON RD SW, ATLANTA, GA 30331-8013
(404) 458-6139
(678) 550-9066
Mailing address
933 REDA CT, MCDONOUGH, GA 30253-1906
(216) 905-4696
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA004424
GA
Other
Enumeration date
09/30/2020
Last updated
09/30/2020
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