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Individual

GEORGIA TREASURE GILLEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ATC, MS

Contact information

Practice address
3252 CALHOUN RD NE, ROME, GA 30161-1929
(404) 788-0776
Mailing address
605 2ND AVE, TYBEE ISLAND, GA 31328-8732
(404) 788-0776

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2000057324
GA

Other

Enumeration date
06/15/2023
Last updated
05/20/2025
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