Individual
KRISTIN FAYE WHITLOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
421 SUMMIT HEIGHTS DR, NICHOLSON, GA 30565-3252
(706) 410-8409
Mailing address
421 SUMMIT HEIGHTS DR, NICHOLSON, GA 30565-3252
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
GA
Other
Enumeration date
01/09/2019
Last updated
01/09/2019
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