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Individual

AMANDA WINDON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ATC/LAT

Contact information

Practice address
851 ORANGE ST, MACON, GA 31201-2164
(478) 808-1845
Mailing address
313 ANTLER TRL, WARNER ROBINS, GA 31088-2863
(478) 808-1845

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT002321
GA

Other

Enumeration date
09/04/2014
Last updated
11/09/2015
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