Individual
ALISSA WOOLF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2545 FREEMAN RD, BLAKELY, GA 39823-5607
(229) 308-8449
Mailing address
2545 FREEMAN RD, BLAKELY, GA 39823-5607
(229) 308-8449
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
059031429
GA
Other
Enumeration date
08/20/2018
Last updated
08/20/2018
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