Individual
KRISTEN DYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4850 COVE ST, ACWORTH, GA 30101-5288
(770) 861-9322
Mailing address
4850 COVE ST, ACWORTH, GA 30101-5288
Taxonomy
Speciality
Code
Description
License number
State
146N00000X
Basic Emergency Medical Technician
E034827
GA
2255A2300X
Athletic Trainer
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/19/2021
Last updated
05/25/2023
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