Individual
MARYKATHRYN CAMPBELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3843 ASHFORD RDG NE, BROOKHAVEN, GA 30319-1895
(404) 444-5372
Mailing address
3843 ASHFORD RDG NE, BROOKHAVEN, GA 30319-1895
(404) 444-5372
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
1394
SC
2255A2300X
Athletic Trainer
Primary
AT-436
HI
Other
Enumeration date
03/23/2022
Last updated
07/15/2024
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