Individual
SAMANTHA JEAN LIBBY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, ATC, LAT
Contact information
Practice address
2550 AKERS MILL RD SE APT F14, ATLANTA, GA 30339-3271
(203) 231-2945
Mailing address
2550 AKERS MILL RD SE APT F14, ATLANTA, GA 30339-3271
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT003227
GA
Other
Enumeration date
08/12/2020
Last updated
08/12/2020
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