Individual
JASON JAMESRYAN RUTLAND NIERENHAUSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
655 JESSE JEWELL PKWY SE, SUITE C, GAINESVILLE, GA 30501-3756
(770) 539-9001
(770) 539-9217
Mailing address
8823 PRODUCTION LN, OOLTEWAH, TN 37363-6511
(423) 238-7217
(423) 238-3473
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT1281
GA
Other
Enumeration date
07/21/2008
Last updated
07/21/2008
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