Individual
MRS. KATIE SHELNUTT COLLINS
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MS, ATC/L
Contact information
Practice address
1205 SHADWELL LANE, MONROE, GA 30655
(770) 266-2864
Mailing address
1205 SHADEWELL LN, MONROE, GA 30655-5694
(770) 266-2864
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT000990
GA
Other
Enumeration date
04/11/2006
Last updated
07/09/2007
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