Individual
MR. JOHN AMOS MANSFIELD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
300 CHESHIRE DR, WARNER ROBINS, GA 31088-1158
(478) 301-2453
(478) 301-2039
Mailing address
300 CHESHIRE DR, WARNER ROBINS, GA 31088-1158
(478) 301-2453
(478) 301-2039
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT002003
GA
Other
Enumeration date
12/13/2013
Last updated
12/13/2013
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