Individual
REBECCA STINCHCOMB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAT, ATC
Contact information
Practice address
1605 CHANTILLY DR NE STE 201, ATLANTA, GA 30324-3267
(770) 295-9500
Mailing address
1795 MCDOWELL CT, LAWRENCEVILLE, GA 30044-4652
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT003831
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
W257349386
AETNA POS
—
01
—
W265015309
AETNA CDHP
—
Enumeration date
05/16/2018
Last updated
10/26/2021
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