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Individual

MS. JENI F EVANS

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
ATC

Contact information

Practice address
1300 CEDAR SHOOLS DR, CEDAR SHOALS HIGH SCHOOL, ATHENS, GA 30605-3551
(706) 546-5375
Mailing address
260 SEGREST CIR, ATHENS, GA 30605-3710
(706) 549-3821

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
115
GA

Other

Enumeration date
02/09/2006
Last updated
07/08/2007
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