Individual
KENNEDY CROCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4570 MONTCLAIR CIR, GAINESVILLE, GA 30506-5131
(770) 533-0279
Mailing address
4570 MONTCLAIR CIR, GAINESVILLE, GA 30506-5131
(770) 533-0279
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
09/11/2018
Last updated
09/11/2018
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