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Search › Georgia › 225200000X

Luke Mauldin, PTA

NPI 1760905988 · on the registry since 2017

Practice

Address
1241 Friendship Rd Ste 120
Braselton, GA 30517
Phone
(770) 415-9792
Fax
(770) 882-0268
Organisation at this address
Total Renal Care Inc
Reagan Medical Center
Alliance Prosthetics And Orthotics
Inferred from a shared address, not stated in the registry.
Clinicians at this address
3

Registry record

Primary taxonomy
225200000X
225200000X
Licence states on file
GA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2019-06-11

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia