Individual
JESSE NEAL SANDLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C, ATC
Contact information
Practice address
1061 DOWDY RD STE 202, ATHENS, GA 30606-5700
(706) 389-8941
(706) 389-8942
Mailing address
1061 DOWDY RD STE 202, ATHENS, GA 30606-5700
(706) 389-8941
(706) 389-8942
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
AT002041
GA
363A00000X
Physician Assistant
Primary
10538
GA
Other
Enumeration date
06/08/2012
Last updated
09/14/2021
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