Individual
KELLEY LYNNE WATKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAT, ATC
Contact information
Practice address
153 PANTHER CIR, BLAIRSVILLE, GA 30512-3172
(706) 455-9713
Mailing address
500 WATKINS RD, BLUE RIDGE, GA 30513-4134
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT002947
GA
Other
Enumeration date
12/06/2017
Last updated
12/06/2017
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