Individual
KATELYNN MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS,ATC, LAT
Contact information
Practice address
805 MT VERNON HWY NW, ATLANTA, GA 30327-4338
(404) 303-2150
Mailing address
805 MT VERNON HWY NW, ATLANTA, GA 30327-4338
(404) 303-2150
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT002789
GA
Other
Enumeration date
04/30/2020
Last updated
04/30/2020
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