Individual
COLLEEN JOANNE BOHANNAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
352 LANGSTON CHAPEL RD, STATESBORO, GA 30458-2478
(707) 853-3295
Mailing address
352 LANGSTON CHAPEL RD, STATESBORO, GA 30458-2478
(707) 853-3295
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
09/29/2017
Last updated
09/11/2025
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