Individual
DANIEL WALLACE MACKIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T., D.P.T., O.C.S.
Contact information
Practice address
6768 HICKORY FLAT HWY, STE 110, CANTON, GA 30115-9376
(770) 721-5767
(770) 345-0158
Mailing address
1200 CORPORATE DR STE 400, HOOVER, AL 35242-5424
(423) 497-0005
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT009812
GA
Other
Enumeration date
10/22/2009
Last updated
03/21/2025
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