Individual
MISS ANDRIENNE IGNATIA TERRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA LAT ATC
Contact information
Practice address
600 N TERMINAL HARTSFIELD-JACKSON AIRPORT, ATLANTA, GA 30337
(404) 773-7480
Mailing address
1057 CROWN LANDING PKWY, MCDONOUGH, GA 30252-8717
(678) 314-9484
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT003201
GA
Other
Enumeration date
10/06/2017
Last updated
10/06/2017
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