Individual
STACY LYNN AREND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
1400 COLEMAN AVE, MACON, GA 31207-0001
(478) 301-2135
(478) 301-2039
Mailing address
4683 TWIN OAK DR, MACON, GA 31210-4425
(478) 230-9161
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT000924
GA
Other
Enumeration date
06/04/2008
Last updated
06/04/2008
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