Individual
MRS. AMANDA MARKLEY LANGTON
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MED, ATC, NREMT-I
Contact information
Practice address
UNIVERSITY OF GEORGIA ATHLETIC ASSOCIATION, COLISEUM, 100 SMITH STREET, ATHENS, GA 30603-1472
(706) 542-6936
(706) 542-7707
Mailing address
UNIVERSITY OF GEORGIA ATHLETIC ASSOCIATION, PO BOX 1472, 100 SMITH STREET, ATHENS, GA 30603
(706) 542-6936
(706) 542-7707
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT000759
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AT000759
LICENSE NUMBER
GA
Enumeration date
04/21/2006
Last updated
07/21/2022
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