Individual
QUENTIN HIGGINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.S. ATC LAT CSCS
Contact information
Practice address
1400 MALL OF GEORGIA BLVD, BUFORD, GA 30519-6593
(678) 612-5594
Mailing address
1400 MALL OF GEORGIA BLVD, BUFORD, GA 30519-6593
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT002609
GA
Other
Enumeration date
04/28/2016
Last updated
04/28/2016
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