Individual
MR. STEPHEN RICK MARQUESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
892 PRINCE AVE, ATHENS, GA 30606-2724
(706) 548-4044
Mailing address
4209 HIGHWAY 124 W, JEFFERSON, GA 30549-3116
(706) 548-4044
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
642
GA
Other
Enumeration date
08/14/2006
Last updated
07/08/2007
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