Individual
WILLIAM BALKCOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3760 SIXES RD STE 130, CANTON, GA 30114-8196
(470) 863-6738
Mailing address
2141 KEMP RD, MARIETTA, GA 30066-6727
(404) 216-2413
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA005181
GA
Other
Enumeration date
04/08/2024
Last updated
04/08/2024
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