Individual
EMILY DIETZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
3219 COLLEGE ST, BOX 20271, SAVANNAH, GA 31404-5254
(912) 358-3357
Mailing address
3219 COLLEGE ST, BOX 20271, SAVANNAH, GA 31404-5254
(912) 358-3357
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT002589
GA
Other
Enumeration date
09/09/2014
Last updated
09/09/2014
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