Individual
HENRY WILLIAM DUNLAP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS, ATC
Contact information
Practice address
129 GOLD MILL PL, CANTON, GA 30114-4025
(678) 333-4822
(678) 493-3994
Mailing address
129 GOLD MILL PL, CANTON, GA 30114-4025
(678) 333-4822
(678) 493-3994
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT001223
GA
Other
Enumeration date
08/18/2006
Last updated
07/08/2007
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