Individual
MISS SAMANTHA JO SCHNEIDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
125 DECATUR ST SE, GSU DEPT. OF ATHLETICS, ATLANTA, GA 30303-3201
(404) 413-4040
Mailing address
1819 BROOKHAVEN CIR NE, ATLANTA, GA 30319-3191
(319) 931-4063
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
07/11/2010
Last updated
07/11/2010
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