Individual
MISS AMY C MUSSELMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
2045 PEACHTREE RD NE, ATLANTA, GA 30309-1414
(678) 732-1332
(404) 425-1622
Mailing address
11024 PERIMETER TRCE E, ATLANTA, GA 30346-1931
(678) 732-1332
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
AT001793
GA
246ZS0410X
Surgical Technologist
Primary
11-1114
GA
Other
Enumeration date
09/07/2010
Last updated
01/16/2012
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