Individual
KELLEN SHERVINGTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
A.T.C., L.A.T
Contact information
Practice address
7300 REINHARDT CIR, WALESKA, GA 30183-2981
(770) 720-5821
(770) 720-5752
Mailing address
7300 REINHARDT CIR, WALESKA, GA 30183-2981
(770) 720-5821
(770) 720-5752
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT002200
GA
Other
Enumeration date
07/28/2014
Last updated
07/28/2014
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