Individual
RICKI COLEMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC, LAT, MSED
Contact information
Practice address
400 HIGHWAY 154, SHARPSBURG, GA 30277-2317
(770) 254-2850
Mailing address
20 CLARET CT, NEWNAN, GA 30265-1901
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT001202
GA
Other
Enumeration date
03/24/2007
Last updated
07/08/2007
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