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WILLIAM MATTHEW MOWERY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PTA

Contact information

Practice address
1275 HIGHWAY 54 W, STE 200, FAYETTEVILLE, GA 30214-4549
(770) 460-8609
(770) 460-8629
Mailing address
8823 PRODUCTION LN, OOLTEWAH, TN 37363-6511
(423) 238-7217
(423) 362-8684

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA003320
GA

Other

Enumeration date
11/07/2016
Last updated
11/07/2016
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