Individual
MRS. ASHLEY AUSTIN OWEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MED, ATC, LAT
Contact information
Practice address
1735 BUFORD HWY, SUITE 310, CUMMING, GA 30041-1266
(770) 887-0502
(770) 887-0054
Mailing address
2400 WISTERIA DR, SUITE A, SNELLVILLE, GA 30078-2689
(770) 982-0102
(770) 982-0130
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT0001543
GA
Other
Enumeration date
04/16/2009
Last updated
10/04/2010
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