Individual
AUBREY MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC, LAT
Contact information
Practice address
251 S CLARK ST., MILLEDGEVILLE, GA 31061
(478) 445-1787
Mailing address
114B PINE CONE RD NW, MILLEDGEVILLE, GA 31061-9406
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT003248
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AT003248
STATE AT LICENSE
GA
Enumeration date
08/22/2017
Last updated
08/22/2017
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