Individual
SHUANITA R GLOVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1026 RIVERCLIFT DR, COVINGTON, GA 30016-8945
(678) 570-4864
Mailing address
1026 RIVERCLIFT DR, COVINGTON, GA 30016-8945
(678) 570-4864
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
22177811
GA
Other
Enumeration date
08/24/2022
Last updated
08/24/2022
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