Individual
AUSTIN D SRODA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LAT, ATC
Contact information
Practice address
3109 WRIGHTSBORO RD, AUGUSTA, GA 30909-3049
(706) 737-1626
Mailing address
319 JOSHUA TREE DR, MARTINEZ, GA 30907-2791
(715) 310-2145
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT003686
GA
2255A2300X
Athletic Trainer
—
NC
Other
Enumeration date
12/04/2018
Last updated
03/02/2020
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