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Individual

ENA WEINSTEIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
ATC

Contact information

Practice address
8538 OLD 441 S STE 200, LAKEMONT, GA 30552-2034
(706) 212-0062
Mailing address
8538 OLD 441 S STE 200, LAKEMONT, GA 30552-2034
(706) 212-0062

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT002834
GA

Other

Enumeration date
05/14/2020
Last updated
05/14/2020
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