Individual
NOAH MANSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1332 SOUTHERN DRIVE, STATESBORO, GA 30458-2586
(706) 834-5961
Mailing address
2000 STAMBUK LN APT 224, STATESBORO, GA 30458-2586
(706) 834-5961
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
01/15/2020
Last updated
01/15/2020
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