Individual
MS. MICHELLE DENISE ST CLAIR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
HEALTH CARE PROVIDER
Contact information
Practice address
841 PLUMBRIDGE CT, LITHONIA, GA 30058-9020
(678) 677-1225
Mailing address
841 PLUMBRIDGE CT, LITHONIA, GA 30058-9020
(678) 677-1225
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
052440720
GA
Other
Enumeration date
06/05/2013
Last updated
06/28/2013
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