Individual
GEORGE JOHNNIE ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
210 PRESTON LN, GALLATIN, TN 37066-1499
(615) 604-3076
Mailing address
210 PRESTON LN, GALLATIN, TN 37066-1499
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
363
TN
Other
Enumeration date
09/25/2019
Last updated
09/25/2019
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