Individual
JENNIFER ASHLEY LONDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
812 CROSS COURT DR, AUGUSTA, GA 30909-2776
(704) 254-2399
Mailing address
812 CROSS COURT DR, AUGUSTA, GA 30909-2776
(704) 254-2399
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
1279
TN
2255A2300X
Athletic Trainer
Primary
AT002100
GA
Other
Enumeration date
07/04/2012
Last updated
10/17/2018
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