Individual
PATRICIA DEDRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC, LAT
Contact information
Practice address
320 N WAYNE ST, MILLEDGEVILLE, GA 31061-2857
(478) 445-1787
Mailing address
250 WHISTLE WAY UNIT C, MILLEDGEVILLE, GA 31061-0619
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT001548
GA
Other
Enumeration date
08/29/2008
Last updated
08/29/2008
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