Individual
TANYA MARIE MAXWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
A.T.C
Contact information
Practice address
2045 PEACHTREE RD NE, 700, ATLANTA, GA 30309-1414
(404) 350-3540
(404) 605-0371
Mailing address
2045 PEACHTREE RD NE, ATLANTA, GA 30309-1414
(678) 732-1336
(404) 605-0371
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT001062
GA
Other
Enumeration date
04/05/2006
Last updated
08/05/2009
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