Individual
MRS. AMANDA RENEE HANIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
018B MEMORIAL HALL, DAHLONEGA, GA 30597-0001
(706) 864-1670
Mailing address
783 TOWN CREEK RD, CLEVELAND, GA 30528
(706) 864-1670
(706) 867-2865
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT000949
GA
Other
Enumeration date
11/13/2006
Last updated
07/08/2007
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