Individual
MR. CHRISTOPHER MICHAEL ARCHAMBEAULT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC, LAT
Contact information
Practice address
590 COBB AVE, KENNESAW, GA 30144
(470) 578-2104
Mailing address
515 AUTUMN RIDGE DR., CANTON, GA 30115
(678) 372-1623
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
1253
NC
Other
Enumeration date
03/15/2007
Last updated
02/10/2022
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