Individual
JONATHAN PAUL BORN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS, LAT, ATC
Contact information
Practice address
4220 MUNDY MILL PL, SUITE 2B, OAKWOOD, GA 30566-2573
(678) 450-9933
(678) 450-9966
Mailing address
2400 WISTERIA DR, SUITE A, SNELLVILLE, GA 30078-2689
(770) 982-0102
(770) 982-0130
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT002725
GA
Other
Enumeration date
07/24/2015
Last updated
11/22/2016
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