Individual
SHELBY GACCETTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2400 WISTERIA DR, SUITE A, SNELLVILLE, GA 30078-2689
(770) 982-0102
(770) 982-0130
Mailing address
2400 WISTERIA DR, SUITE A, SNELLVILLE, GA 30078-2689
(770) 982-0102
(770) 982-0130
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT002487
GA
Other
Enumeration date
07/30/2014
Last updated
07/30/2014
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