Individual
ELIZABETH GRACE LENNON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
180 ALUMNI DR, DAHLONEGA, GA 30533
(706) 867-4494
Mailing address
815 OLD CAMPUS TRL, ATLANTA, GA 30328-1051
(404) 771-9606
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
02/12/2025
Last updated
02/12/2025
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