Individual
DIANE GREEN KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC, RD, CSSD
Contact information
Practice address
410 PEACHTREE PKWY, SUITE 300, CUMMING, GA 30041-7066
(404) 354-0008
Mailing address
328 RHODES HOUSE CT, SUWANEE, GA 30024-6472
(770) 831-4743
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
111
GA
Other
Enumeration date
02/23/2006
Last updated
03/03/2014
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