Individual
MRS. AMY NICOLE HALLMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC/LAT, MS
Contact information
Practice address
365 FOG RD NE, RESACA, GA 30735
(770) 548-2084
Mailing address
365 FOG RD NE, RANGER, GA 30735
(770) 548-2084
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT001474
GA
Other
Enumeration date
03/07/2008
Last updated
12/03/2014
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