Individual
JANISICA YASMEAN COLLINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAT, ATC
Contact information
Practice address
718 MAGNOLIA DRIVE, TUSCALOOSA, AL 35487-0001
(404) 317-6947
Mailing address
4578 BEXLEY WAY, STONE MOUNTAIN, GA 30083-5524
(404) 317-6947
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT003750
GA
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
09/14/2017
Last updated
04/24/2020
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