Individual
GRIFFIN DALTON DENNISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
184 NORTHVIEW DR, ATHENS, GA 30605-1410
(229) 886-3835
Mailing address
184 NORTHVIEW DR, ATHENS, GA 30605-1410
(229) 886-3835
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
—
GA
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
GA
Other
Enumeration date
09/06/2018
Last updated
09/06/2018
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