Individual
ANNA CATHERINE JESSUP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
330 RIVER RD, ATHENS, GA 30602
(706) 542-5060
Mailing address
1008 MAPLE CREEK DR, LOGANVILLE, GA 30052-7111
(678) 900-4235
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
07/18/2019
Last updated
07/18/2019
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