Individual
AMANDA BROOK CONWAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
600 ASBURY CIR, ATLANTA, GA 30322-1006
(404) 727-6714
Mailing address
2137 DRUID OAKS NE, ATLANTA, GA 30329-3288
(614) 517-3879
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
03/09/2007
Last updated
07/08/2007
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