Individual
STEPHEN GAULDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
5470 MERIDIAN MARKS RD, ATLANTA, GA 30342-1624
(404) 257-1820
Mailing address
5470 MERIDIAN MARKS RD, ATLANTA, GA 30342-1624
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
GA
Other
Enumeration date
08/28/2019
Last updated
08/28/2019
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