Individual
NIANA HADDOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1332 SOUTHERN DR, STATESBORO, GA 30460-0001
(912) 478-3646
Mailing address
910 LIBERTY CHURCH RD, VIENNA, GA 31092-5106
(229) 591-5929
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
08/22/2018
Last updated
08/22/2018
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