Individual
ALYSHA ABERNATHY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC, LAT
Contact information
Practice address
564 LAKELAND PLZ, CUMMING, GA 30040-2783
(770) 781-9050
Mailing address
564 LAKELAND PLZ, CUMMING, GA 30040-2783
(770) 781-9050
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT002256
GA
Other
Enumeration date
04/07/2014
Last updated
04/07/2014
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