Individual
CHRISTOPHER MATTOCKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
671 N CHEROKEE RD, SOCIAL CIRCLE, GA 30025-2886
(770) 464-2019
Mailing address
PO BOX 81741, ATHENS, GA 30608-1741
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA003841
GA
Other
Enumeration date
05/20/2019
Last updated
05/20/2019
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