Individual
ANDREA PERTAB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6350 COURTSIDE DR, NORCROSS, GA 30092-2379
(770) 449-6060
Mailing address
2310 BANKSTON CIR, SNELLVILLE, GA 30078-5723
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2000008444
GA
Other
Enumeration date
01/14/2014
Last updated
01/14/2014
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