Individual
BRYANNA MOPPINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4102 EDENBROOKE CIR, LOGANVILLE, GA 30052-5193
(334) 412-8461
Mailing address
4102 EDENBROOKE CIR, LOGANVILLE, GA 30052-5193
(334) 412-8461
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
08/25/2021
Last updated
08/25/2021
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