Individual
MATTHEW MACLEOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
1030 GRANT ST SE UNIT 3, ATLANTA, GA 30315-2015
(404) 565-4064
(678) 550-9303
Mailing address
PO BOX 441146, KENNESAW, GA 30160-9522
(770) 917-1935
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT011644
GA
Other
Enumeration date
08/13/2014
Last updated
05/02/2022
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