Individual
MRS. TROY ROYAL HULL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, LAT, ATC, OTC
Contact information
Practice address
2860 RONALD REAGAN BLVD, CUMMING, GA 30041-6287
(910) 305-2589
Mailing address
4720 ROSEMAN TRL, CUMMING, GA 30040-9343
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT003794
GA
246ZX2200X
Orthopedic Assistant
20-0605
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
20-0605
NATIONAL BOARD FOR CERTIFICATION OF ORTHOPAEDIC TECHNOLOGISTS
—
01
—
2000025515
BOARD OF CERTIFICATION FOR ATHLETIC TRAINING
—
01
—
AT003794
GEORGIA BOARD OF ATHLETIC TRAINERS
GA
Enumeration date
08/12/2016
Last updated
01/24/2024
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