Individual
JANA KATZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
A.T.C.
Contact information
Practice address
1332 SOUTHERN DRIVE, STATESBORO, GA 30458
(912) 478-4636
Mailing address
153 HERSCHEL DR, STATESBORO, GA 30458-2335
(757) 748-3337
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
0126001996
VA
2255A2300X
Athletic Trainer
Primary
AT002269
GA
Other
Enumeration date
08/21/2014
Last updated
08/21/2014
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