Search › Georgia › 2255A2300X
Taz Kicklighter, MS, ATC
NPI 1629207964 · on the registry since 2009 · sole proprietor
Practice
- Address
- 7300 Reinhardt College Cir
Waleska, GA 30183 - Phone
- (770) 720-9226
- Fax
- (770) 720-5622
Registry record
- Primary taxonomy
- 2255A2300X
2255A2300X
- Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2009-07-08
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