Individual
SEAN NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
531 LAKELAND PLZ, CUMMING, GA 30040
(770) 851-2637
Mailing address
2815 CAMBRIDGE HILLS RD, CUMMING, GA 30041-8273
(770) 851-2637
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT002084
GA
Other
Enumeration date
10/11/2012
Last updated
10/11/2012
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