Individual
MR. CHRISTOPHER MALIK FAYNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LAT, ATC
Contact information
Practice address
600 REDMOND RD NW APT G11, ROME, GA 30165-1428
(901) 277-0633
Mailing address
600 REDMOND RD NW APT G11, ROME, GA 30165-1428
(901) 277-0633
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT004320
GA
Other
Enumeration date
12/01/2022
Last updated
12/01/2022
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