Individual
AMANDA B DWORKIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AT
Contact information
Practice address
1108 N MAIN ST, CEDARTOWN, GA 30125-2039
(770) 749-0250
(770) 749-0086
Mailing address
PO BOX 949, ROME, GA 30162-0949
(706) 802-1991
(706) 802-1408
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT001516
GA
Other
Enumeration date
05/05/2010
Last updated
05/05/2010
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