Individual
TINA LEAH DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
4601 SADDLE GATE LN, ACWORTH, GA 30101-5286
(770) 975-8995
Mailing address
4601 SADDLE GATE LN, ACWORTH, GA 30101-5286
(770) 975-8995
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT000887
GA
Other
Enumeration date
04/12/2007
Last updated
07/08/2007
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