Individual
JESSICA MUTCHLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD, LAT, ATC
Contact information
Practice address
62 GEORGIA AVE, HOLLIS BUILDING 1119C, STATESBORO, GA 30458-4960
(912) 478-7400
Mailing address
PO BOX 8076, STATESBORO, GA 30460-1000
(912) 478-7400
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT002860
GA
Other
Enumeration date
01/12/2017
Last updated
01/12/2017
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