Individual
GABRIELLA LOTTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1021 CENTRAL AVE, DEMOREST, GA 30535-5252
(706) 778-3000
Mailing address
15 SYCAMORE WAY, SHARPSBURG, GA 30277-1721
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
08/27/2020
Last updated
08/27/2020
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