Individual
MARIA WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
21 ORTHO LN, ATLANTA, GA 30329-2315
(404) 778-6309
Mailing address
8259 WICKER AVE, SAINT JOHN, IN 46373-8878
(740) 275-4480
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT003049
GA
Other
Enumeration date
12/17/2024
Last updated
12/17/2024
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