Individual
MR. GEOFFREY MICHAEL KOTELES
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
50 WOODLAND TRCE, STOCKBRIDGE, GA 30281-4984
(770) 474-6544
Mailing address
50 WOODLAND TRCE, STOCKBRIDGE, GA 30281-4984
(770) 474-6544
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT000326
GA
Other
Enumeration date
06/16/2006
Last updated
07/08/2007
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