Individual
ALEXIS SHERROD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
2505 NEWPOINT PKWY STE 100, LAWRENCEVILLE, GA 30043-6003
(678) 257-7078
(678) 669-2619
Mailing address
5300 PEACHTREE RD UNIT 311, ATLANTA, GA 30341-2437
(773) 677-0299
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT002868
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AT002868
SECRETARY OF STATE (GA) ATHLETIC TRAINER LICENSE
GA
Enumeration date
05/25/2021
Last updated
05/25/2021
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