Individual
DEONNA RAKEL PENNAMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAT, ATC
Contact information
Practice address
5625 SUFFEX GREEN LANE, ATLANTA, GA 30339
(678) 206-7246
Mailing address
5625 SUFFEX GREEN LN, ATLANTA, GA 30339-6115
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT003639
GA
Other
Enumeration date
08/29/2018
Last updated
06/09/2021
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