Individual
JOHNNY VITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
927 ORCHARD LN, DAWSONVILLE, GA 30534-8066
(404) 520-5868
Mailing address
927 ORCHARD LN, DAWSONVILLE, GA 30534-8066
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
—
GA
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
GA
Other
Enumeration date
02/02/2018
Last updated
02/02/2018
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