Individual
ASHLYN LOUDERMILK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2719 DIXIE DALE RD NW, DEWY ROSE, GA 30634-2300
(770) 548-7797
Mailing address
2719 DIXIE DALE RD NW, DEWY ROSE, GA 30634-2300
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/09/2019
Last updated
07/09/2019
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