Individual
AMANDA HAWKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
125 DECATUR ST SE, ATLANTA, GA 30303-3201
(404) 413-4162
Mailing address
572 EDGEWOOD AVE SE UNIT 109, ATLANTA, GA 30312-1989
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT002094
GA
Other
Enumeration date
04/09/2015
Last updated
04/09/2015
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