Individual
AZALEA ALVINA HANCOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
337 KENTWOOD SPRINGS DR, HAMPTON, GA 30228-5941
(678) 353-9241
Mailing address
337 KENTWOOD SPRINGS DR, HAMPTON, GA 30228-5941
(678) 353-9241
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT002776
GA
Other
Enumeration date
03/11/2016
Last updated
03/11/2016
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