Individual
JAMES ANTHONY WOMBLES JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
6565 PUTNAM FORD DR, WOODSTOCK, GA 30189-1501
(706) 399-9097
Mailing address
1199 PARKWOOD CHASE NW, ACWORTH, GA 30102-6399
(706) 399-9097
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT002870
GA
Other
Enumeration date
10/03/2019
Last updated
10/03/2019
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